Germaine Noel Burke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9259T Issued in CA

Practice address

441 S Ham LN
Suite B
Lodi, CA 95242-3525

Phone

(209) 224-5454

Fax

(209) 224-8791

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Germaine Noel Hernandez Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Burke Optometry IncGroup PAC ID 8729234703, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Burke Optometry, Inc.

  • Optometrist
  • Lodi, CA
  • NPI 1699047332
  Medicare reassignment Care Compare group NPD Authorized official
• Peter V. Hetzner, O.D.

  • Optometrist
  • Lodi, CA
  • NPI 1487730172
  NPD (past)
• Zeiter Eye Medical Group, Inc.

  • Ophthalmology Physician
  • Elk Grove, CA
  • NPI 1346662970
  NPD (past)
• Zeiter Eye Medical Group, Inc.

  • Ophthalmology Physician
  • Stockton, CA
  • NPI 1740214634
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1376628404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S. HAM LANE",
            "address_2": "SUITE B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "95242",
            "telephone_number": "209-224-5454",
            "fax_number": "209-224-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S HAM LN",
            "address_2": "SUITE B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423525",
            "telephone_number": "209-224-5454",
            "fax_number": "209-224-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "GERMAINE",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9259T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0092590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERMAINE",
            "last_name": "HERNANDEZ",
            "middle_name": "NOEL",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Buchman, PHARMD
• Kevin Buckman, MD
• Joseph Bui, DMD
• Burke Optometry, Inc.
• Tedra L Burke-Searls, D.C.
• Jerome A Burke, O.D.
• Debbie Ann Burns, PHARM D.
• Arianna Bush
• Myra Bustamante
• Cadri Transport LLC

• Optometrist in Lodi, CA
• Providers in Lodi, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.

Verify at the official NPI Registry.