Individual provider Active NPI

Brandon Burr

  • Optometrist
  • Goodyear, AZ
National Provider Identifier
1619375599
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2034 Issued in AZ
Practice address
14175 W. Indian School Rd. Bypass Ste D2
Goodyear, AZ 85395
Phone
(623) 536-2575
NPI assigned
Dec 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2034 AZ Primary

Addresses

Primary practice location

14175 W. Indian School Rd. Bypass Ste D2
Goodyear, AZ 85395

Mailing address

220 N McKemy Ave
Chandler, AZ 85226-2654

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150120000381 AZ Practitioner - Optometry 5597089649 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. Optometrist CurrentSince Jan 5, 2015 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Jan 5, 2015 Accepting new patients

Locations

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

14175 W Indian School Rd
Ste B9
Goodyear, AZ 85395
Phone (623) 536-2575

14175 W Indian School Rd
Ste D2
Goodyear, AZ 85395
Phone (623) 536-2575

955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865

6135 N 35th Ave
Ste 139
Phoenix, AZ 85017
Phone (602) 973-5868

2040 E Rio Salado Pkwy
Ste 120
Tempe, AZ 85288
Phone (480) 966-4992

4663 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 322-0873

182 W 32nd St
Yuma, AZ 85364
Phone (928) 726-7757

Interoperability endpoints

  • Direct secure messaging: dr.brandon.burr@direct.eyecare-partners.com
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

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": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1619375599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14175 W. INDIAN SCHOOL RD. BYPASS STE D2",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-536-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURR",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-09",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.