Individual provider Active NPI

Jonathan Burt, O.D.

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1447608807
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6446 Issued in OH
Practice address
5303 Glenway Ave
Cincinnati, OH 45238-3706
Phone
(513) 921-8040
Fax
(513) 921-6483
NPI assigned
May 26, 2016
Last updated
May 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 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 6446 OH Primary

Addresses

Primary practice location

5303 Glenway Ave
Cincinnati, OH 45238-3706

Mailing address

2920 Glendale Milford Rd
Suite 220
Cincinnati, OH 45241-3131
Phone (513) 922-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160926001196 OH Practitioner - Optometry 5496042087 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Springboro Vision, LLCGroup PAC ID 6507120169, 6 clinicians
Blue Ash Vision Center LLCGroup PAC ID 8426563057, 3 clinicians
Lebanon Vision Center LLCGroup PAC ID 8426434390, 4 clinicians

Practice addresses (Care Compare)

245 N Main St
Suite 300
Springboro, OH 45066-9171
Phone (937) 748-2955

4854 Hunt Rd
Blue Ash, OH 45242-6911
Phone (513) 891-6800

777 Columbus Ave
Lebanon, OH 45036-1682

777 Columbus Ave
Lebanon, OH 45036-1684
Phone (513) 932-3343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lebanon Vision Center, LLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Springboro Vision, LLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Eyecare on the Square LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Mason Vision Center, LLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Jul 15, 2019 Accepting new patients
Blue Ash Vision Center, LLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Clear Eyes & Aesthetics LLC Optometrist CurrentSince Jul 27, 2022 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Jul 15, 2019 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist Current Accepting new patients
Kara S Hampton Optometrist Past Accepting new patients
Debora L. Wright,O.D. Inc. Optometrist PastSince Nov 7, 2022 Accepting new patients
Wing Eyecare, Inc. Optometrist Past Accepting new patients

Locations

4854 Hunt Rd
Blue Ash, OH 45242
Phone (513) 891-6800

5303 Glenway Ave
Cincinnati, OH 45238
Phone (513) 921-8040

6833 Wooster Pike
Cincinnati, OH 45227
Phone (513) 271-7246

7257 Wooster Pike
Cincinnati, OH 45227
Phone (513) 335-1910

777 Columbus Ave
Lebanon, OH 45036
Phone (513) 932-3343

218 Reading Rd
Mason, OH 45040
Phone (513) 398-3885

245 N Main St
Ste 300
Springboro, OH 45066
Phone (937) 748-2955

8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 12

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1447608807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 GLENDALE MILFORD RD",
            "address_2": "SUITE 220",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452413131",
            "telephone_number": "513-922-9000",
            "fax_number": "513-922-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383706",
            "telephone_number": "513-921-8040",
            "fax_number": "513-921-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "JONATHAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.