Jerome A Burke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT00006004TPA Issued in CA

Practice address

441 S Ham LN
Ste B
Lodi, CA 95242-3525

Phone

(209) 224-5454

Fax

(209) 224-8791

NPI assigned

Nov 1, 2006

Last updated

Jul 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1538246335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S. HAM LANE",
            "address_2": "SUITE B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "95242",
            "telephone_number": "209-224-5454",
            "fax_number": "209-224-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S HAM LN",
            "address_2": "STE B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423525",
            "telephone_number": "209-224-5454",
            "fax_number": "209-224-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JEROME",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "06004T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT00006004TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Buckman, MD
• Joseph Bui, DMD
• Burke Optometry, Inc. (Burke Optometry)
• Tedra L Burke-Searls, D.C.
• Germaine Noel Burke, O.D.
• Debbie Ann Burns, PHARM D.
• Arianna Bush
• Myra Bustamante
• Cadri Transport LLC
• Cahill Medical Inc

• Optometrist in Lodi, CA
• Providers in Lodi, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.