Individual provider Active NPI

Brett Patrick Burns, OD

  • Optometrist
  • Ludlow, MA
National Provider Identifier
1336709757
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5369 Issued in MA
Practice address
200 Center St Ste 1
Ludlow, MA 01056-2773
Phone
(413) 583-3600
NPI assigned
Jun 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5369 MA Primary

Addresses

Primary practice location

200 Center St Ste 1
Ludlow, MA 01056-2773

Mailing address

200 Center St Ste 1
Ludlow, MA 01056-2773
Phone (413) 583-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190828002875 MA Practitioner - Optometry 6406184431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ludlow Eye Care PC 2 clinicians

Practice addresses (Care Compare)

200 Ctr St
Suite 1
Ludlow, MA 01056-2773
Phone (413) 583-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5369MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baltazar Eye Care, PC Optometrist CurrentSince May 6, 2022 Accepting new patients
Ludlow Eye Care PC Optometrist CurrentSince Jul 25, 2019 Accepting new patients
Ludlow Eye Associates PC Optometrist PastSince Jul 25, 2019 Accepting new patients

Locations

113 Center St
Chicopee, MA 01013
Phone (413) 592-7777

200 Center St
Ste 1
Ludlow, MA 01056
Phone (413) 583-3600

200 Center St
Ludlow, MA 01056
Phone (413) 583-3600

Organizations & group practices 3

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1336709757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTER ST STE 1",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562773",
            "telephone_number": "413-583-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTER ST STE 1",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562773",
            "telephone_number": "413-583-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "BRETT",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

Verify at the official NPI Registry.