Active NPI
Alexandra Demetria McBurnie, OD
- Optometrist
- Chesterton, IN
National Provider Identifier
1306498787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18004255A
- Practice address
- 101 Beverly Dr Ste C
Chesterton, IN 46304-3471 - Phone
- (219) 728-3937
- NPI assigned
- Jul 15, 2019
- 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 | OPT-002367 | AZ | |
| Optometrist | 152W00000X | 18004255A | IN | Primary |
Addresses
Primary practice location
101 Beverly Dr Ste C
Chesterton, IN 46304-3471
Mailing address
4315 Campbell St
Valparaiso, IN 46385-1301
Phone (812) 345-0602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 Beverly Dr
Suite C
Chesterton, IN 46304-3471
Phone (219) 728-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT-002367 | AZ | MD | Optometrist |
| 18004255A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Current | Accepting new patients | |
| J&a McBurnie, LLC | Optometrist | Current | Accepting new patients |
| Northshore Health Centers, Inc. | Optometrist | Current | Accepting new patients |
| Duneland Family Eyecare LLC | Optometrist | Past | Accepting new patients |
Locations
101 Beverly Dr
Ste C
Chesterton, IN 46304
Phone (219) 381-7208
6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188
Interoperability endpoints
- alexandra.kossis.p1@direct.northshorehealth.nextgenshare.com
Organizations & group practices 5
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
- Chesterton, IN
- NPI 1689567778
-
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1114257300
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1336992999
-
- Federally Qualified Health Center (FQHC)
- Portage, IN
- NPI 1407061336
Optometrist
-
- Optometrist
- Chesterton, IN
- NPI 1417597402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1306498787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4315 CAMPBELL ST",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463851301",
"telephone_number": "812-345-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BEVERLY DR STE C",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463043471",
"telephone_number": "219-728-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBURNIE",
"first_name": "ALEXANDRA",
"middle_name": "DEMETRIA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-002367",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004255A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.