Individual provider Active NPI

Leann Marie Burns, OD

  • Optometrist
  • Alpena, MI
National Provider Identifier
1316599764
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005368 Issued in MI
Practice address
224 E Chisholm St Ste a
Alpena, MI 49707-2820
Phone
(989) 354-5890
Fax
(989) 356-6213
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005368 MI Primary

Addresses

Primary practice location

224 E Chisholm St Ste a
Alpena, MI 49707-2820

Mailing address

224 E Chisholm St Ste a
Alpena, MI 49707-2820
Phone (989) 354-5890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808002822 MI Practitioner - Optometry 9931436201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Up North Eye Care PLLCGroup PAC ID 1557758257, 2 clinicians

Practice addresses (Care Compare)

224 E Chisholm St
Suite a
Alpena, MI 49707-2862
Phone (989) 354-5890

224 E Chisholm St a
Alpena, MI 49707-2820

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Up North Eye Care, PLLC Optometrist CurrentSince Mar 24, 2022 Accepting new patients

Locations

224 E Chisholm St
Ste A
Alpena, MI 49707
Phone (989) 354-5890

Organizations & group practices 1

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.

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": "1636502400000",
    "number": "1316599764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E CHISHOLM ST STE A",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072820",
            "telephone_number": "989-354-5890",
            "fax_number": "989-356-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E CHISHOLM ST STE A",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072820",
            "telephone_number": "989-354-5890",
            "fax_number": "989-356-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "LEANN",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.