NPIMap

Organization Active NPI

Burbank Eyecare Inc

  • Optometrist
  • Burbank, CA
National Provider Identifier
1609017854
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13140T Issued in CA
Legal business name
BURBANK EYECARE INC
Practice address
1820 W Verdugo Ave
Burbank, CA 91506-2150
Phone
(626) 696-3607
Fax
(626) 696-3608
NPI assigned
Mar 18, 2009
Last updated
Jan 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Jane Kim, ODNPI 1891874574
Title
Owner
Phone
(747) 261-7747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13140T CA Primary
Corneal and Contact Management Optometrist 152WC0802X
Optometric Assistant Technician 156FX1201X

Addresses

Primary practice location

1820 W Verdugo Ave
Burbank, CA 91506-2150

Mailing address

1820 W Verdugo Ave
Burbank, CA 91506-2150
Phone (747) 261-7747

National Provider Directory

National Provider Directory

Locations

1820 W Verdugo Ave
Burbank, CA 91506
Phone (747) 261-7747

1741 E Washington Blvd
Pasadena, CA 91104
Phone (626) 696-3607

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1609017854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W VERDUGO AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062150",
            "telephone_number": "747-261-7747",
            "fax_number": "818-841-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W VERDUGO AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062150",
            "telephone_number": "626-696-3607",
            "fax_number": "626-696-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURBANK EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-261-7747",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13140T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1201X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optometric Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.