Individual provider Active NPI

Cynthia Lynn Burlingame, O.D.

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1477524932
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12593 Issued in KS
Practice address
11500 W 119TH St
Overland Park, KS 66213-2002
Phone
(913) 451-0001
Fax
(913) 451-1659
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12593 KS Primary
Corneal and Contact Management Optometrist 152WC0802X 12593 KS
Pediatric Optometrist 152WP0200X 12593 KS

Addresses

Primary practice location

11500 W 119TH St
Overland Park, KS 66213-2002

Mailing address

12616 W 121St Ter
Overland Park, KS 66213-2263
Phone (913) 226-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20080827000496 KS Practitioner - Optometry 4284700295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burlingame and Mock Vision Associates, Inc 5 clinicians

Practice addresses (Care Compare)

11500 W 119TH St
Overland Park, KS 66213-2002
Phone (913) 451-0001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1259KSMDClinical Social Worker
12593KSMDPediatric Optometrist
12592KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burlingame & Mock Vision Associates, Inc Optometrist CurrentSince Jan 1, 2008 Accepting new patients

Locations

11806 Quivira Rd
Overland Park, KS 66210
Phone (913) 451-0001

11500 W 119th St
Overland Park, KS 66213
Phone (913) 451-0001

Organizations & group practices 1

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1477524932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12616 W 121ST TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132263",
            "telephone_number": "913-226-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132002",
            "telephone_number": "913-451-0001",
            "fax_number": "913-451-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLINGAME",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "12593",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "KS",
            "license": "12593",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "KS",
            "license": "12593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.