Individual provider Active NPI

Richard C. Burns, O.D.

  • Optometrist
  • Lewistown, PA
National Provider Identifier
1467436295
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000858 Issued in PA
Practice address
54 Chestnut St
Lewistown, PA 17044-2201
Phone
(717) 248-4574
Fax
(717) 248-3937
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000858 PA Primary

Addresses

Primary practice location

54 Chestnut St
Lewistown, PA 17044-2201

Mailing address

313 Walnut St
P.O. Box 136
Reedsville, PA 17084-9764
Phone (717) 667-6839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101202000733 PA Practitioner - Optometry 3870616261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1467436295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 WALNUT ST",
            "address_2": "P.O. BOX 136",
            "city": "REEDSVILLE",
            "state": "PA",
            "postal_code": "170849764",
            "telephone_number": "717-667-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CHESTNUT ST",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442201",
            "telephone_number": "717-248-4574",
            "fax_number": "717-248-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "RICHARD",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, PA

Sources for this page

Verify at the official NPI Registry.