Charles David Burton, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-489-TA-125 Issued in AL

Practice address

245 S 6TH St
Gadsden, AL 35901-4102

Phone

(256) 546-8074

Fax

(256) 546-0376

NPI assigned

Sep 14, 2006

Last updated

Jun 19, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Alabama Eyecare Associates LLC

  • Optometrist
  • Gadsden, AL
  • NPI 1528166469
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1407951320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8227",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359028227",
            "telephone_number": "256-546-8074",
            "fax_number": "256-546-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S 6TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014102",
            "telephone_number": "256-546-8074",
            "fax_number": "256-546-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-489-TA-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000059687",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BLUE CROSS & BLUE",
            "identifier": "51059687",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180007138",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Marie Burnett, R.D.
• Dana Lowman Burns, N.P.
• Zachary Robert Burns
• Rylee Kristen Burt, DMD
• Burt's Place Home for Boys
• Melvin Lee Bush
• Misty G Bush
• Tyler Blake Bush
• Melanie Butts, FNP-BC
• Cassey Byers

• Optometrist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.