Individual provider Active NPI

Rachel Lynnet Burnett, O.D.

  • Optometrist
  • Longview, TX
National Provider Identifier
1427211416
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7232TG Issued in TX
Practice address
1506 Judson Rd
Longview, TX 75601-3919
Phone
(903) 758-8832
Fax
(903) 238-8876
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7232TG TX Primary

Addresses

Primary practice location

1506 Judson Rd
Longview, TX 75601-3919

Mailing address

1506 Judson Rd
Longview, TX 75601-3919
Phone (903) 758-8832

Other identifiers 2

IdentifierTypeStateIssuer
7232TGOtherTXTEXAS OPTOMETRY BOARD
85712QOtherTXBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090210000564 TX Practitioner - Optometry 9234294190 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ward Eye Associates PC Optometrist CurrentSince May 3, 2021 Accepting new patients
Temple Optometrists, P.C. Optometrist Past Accepting new patients

Locations

1821 Judson Rd
Longview, TX 75605
Phone (903) 758-8832

2306 E End Blvd S
Marshall, TX 75672
Phone (903) 938-2555

Organizations & group practices 2

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1427211416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013919",
            "telephone_number": "903-758-8832",
            "fax_number": "903-238-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013919",
            "telephone_number": "903-758-8832",
            "fax_number": "903-238-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "RACHEL",
        "middle_name": "LYNNET",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7232TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY BOARD",
            "identifier": "7232TG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "85712Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.