Active NPI
Brett Patrick Burns, OD
- Optometrist
- Ludlow, MA
National Provider Identifier
1336709757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5369
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5369 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltazar Eye Care, PC | Optometrist | Current | Accepting new patients |
| Ludlow Eye Care PC | Optometrist | Current | Accepting new patients |
| Ludlow Eye Associates PC | Optometrist | Past | 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.
-
- Optometrist
- Ludlow, MA
- NPI 1265635783
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.