Individual provider Active NPI

Eric Matthew Burns, O.D.

  • Optometrist
  • Elizabeth City, NC
National Provider Identifier
1477597029
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1855 Issued in NC
Practice address
1503 N Road St
Elizabeth City, NC 27909-3243
Phone
(252) 335-5446
Fax
(252) 335-4153
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1855 NC Primary

Addresses

Primary practice location

1503 N Road St
Elizabeth City, NC 27909-3243

Mailing address

1503 N Road St
Elizabeth City, NC 27909-3243
Phone (252) 335-5446

Other identifiers 1

IdentifierTypeStateIssuer
89093RYMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040611000080 NC Practitioner - Optometry 4385627298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albemarle Eye Center PLLCGroup PAC ID 4981696499, 7 clinicians

Practice addresses (Care Compare)

1503 N Rd St
Elizabeth City, NC 27909-3243
Phone (252) 335-5446

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1855NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Eye Center, PLLC Optometrist CurrentSince Nov 2, 2010 Accepting new patients
Albemarle Eye Center, PLLC CurrentSince Nov 2, 2010 Accepting new patients
Albemarle Eye Center, PLLC Optometrist Past Accepting new patients

Locations

101 Mark Dr
Edenton, NC 27932
Phone (252) 482-7471

1503 N Road St
Elizabeth Cty, NC 27909
Phone 25233554462237

3524 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 441-3163

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1477597029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093243",
            "telephone_number": "252-335-5446",
            "fax_number": "252-335-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093243",
            "telephone_number": "252-335-5446",
            "fax_number": "252-335-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "ERIC",
        "middle_name": "MATTHEW",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093RY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.