Thomas Ward Burk, O.D.
Individual provider Active NPI Optometrist · Yuba City, CA
NPI 1295895985 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295895985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT 4970 TPA (CA)
- Practice address
- 1050 Live Oak Blvd
Yuba City, CA 95991-3415 - Phone
- (530) 671-1740
- Fax
- (530) 671-1380
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 4970 TPA | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Eyecare, an Optometric Corporation | Optometrist | Past |
Accepting new patients |
| Advanced Eyecare, an Optometric Corporation | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 4970 TPA | CA | Yes |
Addresses
Primary practice location
1050 Live Oak Blvd
Yuba City, CA 95991-3415
Mailing address
PO Box 999
Yuba City, CA 95992-0999
Phone (530) 671-1740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0049700 | Medicaid | CA |
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.