Richard Burdick, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001842A Issued in IN

Legal business name

RICHARD BURDICK, O.D., P.C.

Practice address

9500 E US Highway 36
Avon
Avon, IN 46123-7366

Phone

(317) 209-8429

Fax

(317) 209-8618

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Richard Douglas Burdick, O.D.

Title

President

Phone

(317) 209-8429

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1316210693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461220333",
            "telephone_number": "317-209-8429",
            "fax_number": "317-209-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 E US HIGHWAY 36",
            "address_2": "AVON",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237366",
            "telephone_number": "317-209-8429",
            "fax_number": "317-209-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD BURDICK, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "BURDICK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-209-8429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001842A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200501920A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Detra Reynolds-Todd
• Krystal Reynolds, D.O.
• Stephanie L Reynolds, M.D.
• Tamara Riano
• Mark Lashawn Rice
• Melinda Ann Richards, PTA
• Sydney F Richards, PA-C
• Travis A Richardson, MD
• Dawn Marie Riddle, PT
• Susan Lynn Riddle, LCSW

• All providers in Avon, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.