Individual provider Active NPI

Claire Elise Burbee, OD

  • Optometrist
  • Broken Arrow, OK
National Provider Identifier
1518605484
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3164 Issued in OK
Practice address
10557 E Highway 51
Broken Arrow, OK 74014-2308
Phone
(918) 279-8830
NPI assigned
May 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 3164 OK Primary

Addresses

Primary practice location

10557 E Highway 51
Broken Arrow, OK 74014-2308

Mailing address

10557 E Highway 51
Broken Arrow, OK 74014-2308
Phone (918) 279-8839

Other names 1

  • Claire Elise Keating Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20220812000640 OK Practitioner - Optometry 4082097761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Family Eye Care IncGroup PAC ID 5395832489, 2 clinicians

Practice addresses (Care Compare)

10557 E Hwy 51
Broken Arrow, OK 74014-2308
Phone (918) 279-8830

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Eye Care Inc Optometrist CurrentSince Jul 21, 2022 Accepting new patients
MBR Eye LLC Optometrist CurrentSince May 29, 2022 Accepting new patients

Locations

10557 E Highway 51
Broken Arrow, OK 74014
Phone (918) 279-8830

Organizations & group practices 2

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": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1518605484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10557 E HIGHWAY 51",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740142308",
            "telephone_number": "918-279-8839",
            "fax_number": "866-871-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10557 E HIGHWAY 51",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740142308",
            "telephone_number": "918-279-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBEE",
        "first_name": "CLAIRE",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-21",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "KEATING",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.