Active NPI
Charlotte Leigh Burns, O.D.
- Optometrist
- Dallas, TX
National Provider Identifier
1285689877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 07352T
- Practice address
- 5920 Encore Dr
Dallas, TX 75240-4760 - Phone
- (972) 607-5978
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 07352T | TX | Primary |
| Optometrist | 152W00000X | 2654 | WI |
Addresses
Primary practice location
5920 Encore Dr
Dallas, TX 75240-4760
Mailing address
5920 Encore Dr
Dallas, TX 75240-4760
Phone (972) 607-5978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38707300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2654 | WI | MD | Clinical Social Worker |
| 07352T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Neuropain Solutions LLC | Current | Accepting new patients | |
| Excel Performance Medical Center | Past | Accepting new patients | |
| Neuropain Solutions LLC | Past | Accepting new patients | |
| WCML Management Services, LLC | Past | Accepting new patients | |
| Neuropain Solutions LLC | Past | Accepting new patients |
Locations
730 W Exchange Pkwy
Allen, TX 75013
Phone (469) 854-6711
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Allen, TX
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-
- Legal Medicine
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- NPI 1902061278
-
dba Men's Edge Medical Center
- Independent Medical Examiner Physician
- Dallas, TX
- NPI 1639506173
-
- Pain Medicine (Anesthesiology) Physician
- Las Vegas, NV
- NPI 1679916688
-
- Pain Medicine (Anesthesiology) Physician
- Dallas, TX
- NPI 1740615889
-
- Pain Medicine (Anesthesiology) Physician
- Olathe, KS
- NPI 1891135927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1285689877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 ENCORE DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752404760",
"telephone_number": "972-607-5978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 ENCORE DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752404760",
"telephone_number": "972-607-5978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "CHARLOTTE",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "07352T",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2654",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38707300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.