Individual provider Active NPI

William R Burges, O.D.

  • Optometrist
  • Castroville, TX
National Provider Identifier
1437157690
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2357TG Issued in TX
Practice address
405 Paris St
Castroville, TX 78009-4511
Phone
(830) 538-2241
Fax
(830) 931-3453
NPI assigned
Jul 12, 2005
Last updated
Aug 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2357TG TX Primary

Addresses

Primary practice location

405 Paris St
Castroville, TX 78009-4511

Mailing address

405 Paris St
Castroville, TX 78009-4511
Phone (830) 538-2241

Other identifiers 1

IdentifierTypeStateIssuer
0932998-02MedicaidTX

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
I20101222000514 TX Practitioner - Optometry 7618043688 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Arthur a Medina OD PC Optometrist CurrentSince Feb 1, 2017 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

405 Paris St
Castroville, TX 78009
Phone (210) 615-9358

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

315 E Colorado St
Pearsall, TX 78061
Phone (830) 334-8077

2903 N Saint Marys St
San Antonio, TX 78212
Phone (210) 225-4141

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1437157690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PARIS ST",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780094511",
            "telephone_number": "830-538-2241",
            "fax_number": "830-931-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 PARIS ST",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780094511",
            "telephone_number": "830-538-2241",
            "fax_number": "830-931-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGES",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2357TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0932998-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castroville, TX

Sources for this page

Verify at the official NPI Registry.