Active NPI
Carolyn Ann Burchett, L.D.O.
- Optician
- Toledo, OH
National Provider Identifier
1376790790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 5253
- Practice address
- 2164 Tremainsville Rd.
Toledo, OH 43613 - Phone
- (419) 474-6699
- NPI assigned
- Aug 27, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 5253 | OH | Primary |
Addresses
Primary practice location
2164 Tremainsville Rd.
Toledo, OH 43613
Mailing address
2164 Tremainsville Rd.
Toledo, OH 43613
Phone (419) 474-6699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5253 | OH | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1376790790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2164 TREMAINSVILLE RD.",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43613",
"telephone_number": "419-474-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2164 TREMAINSVILLE RD.",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43613",
"telephone_number": "419-474-6699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCHETT",
"first_name": "CAROLYN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "L.D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "5253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.