Individual provider Active NPI

Allison Burbach, O.D.

  • Optometrist
  • Hillsboro, WI
National Provider Identifier
1437508595
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3412 Issued in WI
Practice address
845 Water Ave
Hillsboro, WI 54634-6213
Phone
(608) 489-2451
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3412 WI Primary

Addresses

Primary practice location

845 Water Ave
Hillsboro, WI 54634-6213

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160913001347 WI Practitioner - Optometry 3779879051 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Health Services, Inc. Current Accepting new patients
St. Joseph'S Health Services, Inc. Current Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Sep 15, 2016 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Sep 12, 2016 Accepting new patients
Gundersen Clinic LTD CurrentSince Sep 12, 2016 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Sep 15, 2016 Accepting new patients
Gundersen Clinic, LTD. Past Accepting new patients

Locations

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

118 S Marquette Rd
Prairie du Chien, WI 53821
Phone (608) 326-6453

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

Interoperability endpoints

  • Direct secure messaging: aburbach220376@direct.emplifyhealth.org

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gundersen Clinic LTD 422 clinicians

Practice addresses (Care Compare)

845 Water Ave
Hillsboro, WI 54634-6213
Phone (608) 489-2451

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery105

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1437508595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "546346213",
            "telephone_number": "608-489-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBACH",
        "first_name": "ALLISON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, WI

Sources for this page

Verify at the official NPI Registry.