Organization Active NPI

Brian T. Burry, O.D., P.a.

  • Optometrist
  • Ocoee, FL
National Provider Identifier
1295847499
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC-2729 Issued in FL
Legal business name
BRIAN T. BURRY, O.D., P.A.
Practice address
9428 W Colonial Dr
Ocoee, FL 34761-6800
Phone
(407) 822-1977
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian T Burry, O.D.
Title
President
Phone
(407) 448-7697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC-2729 FL Primary

Addresses

Primary practice location

9428 W Colonial Dr
Ocoee, FL 34761-6800

Mailing address

9428 W Colonial Dr
Ocoee, FL 34761-6800
Phone (407) 822-1977

Other identifiers 1

IdentifierTypeStateIssuer
621175500MedicaidFL

National Provider Directory

National Provider Directory

Locations

9428 W Colonial Dr
Ocoee, FL 34761
Phone (407) 291-1921

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1295847499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9428 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616800",
            "telephone_number": "407-822-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9428 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616800",
            "telephone_number": "407-822-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN T. BURRY, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "BURRY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-448-7697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC-2729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621175500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.