Rhett Melvin Burgener, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1060 Issued in AZ

Practice address

1923 McCulloch Blvd #102
Lake Havasu City, AZ 86403-6722

Phone

(928) 854-3555

Fax

(928) 854-4544

NPI assigned

May 27, 2006

Last updated

Feb 15, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PBW Optometry P C

  dba Riverview Vision and Laser Center

  • Corneal and Contact Management Optometrist
  • Kingman, AZ
  • NPI 1255468930
  Medicare reassignment NPD
• PBW Optometry PC

  dba Riverview Vision Center

  • Eyewear Supplier
  • Lake Havasu City, AZ
  • NPI 1871048405
  NPD

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1598712440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 TALISMAN LN",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864068267",
            "telephone_number": "928-505-5843",
            "fax_number": "928-854-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 MCCULLOCH BLVD #102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036722",
            "telephone_number": "928-854-3555",
            "fax_number": "928-854-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGENER",
        "first_name": "RHETT",
        "middle_name": "MELVIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookeside LLC
• Pamela Robin Brookman
• Jackson Thomas Lee Buckman, OD
• Buena Suerte, Inc. (Comfort Keepers #697)
• Ryan Newell Bullen, DMD, DHSC
• Derek M Burnett, MD
• Lynn Marie Burns, RN
• Jeremy Burress
• Burt Faibisoff, MD, PLLC
• Emma Jo Busto

• Optometrist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.