Individual provider Active NPI

Kristina Burton, O. D.

  • Optometrist
  • Berea, KY
National Provider Identifier
1639320039
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1470DT Issued in KY
Practice address
120 Jill Dr
Berea, KY 40403-1677
Phone
(859) 200-4489
NPI assigned
Oct 2, 2008
Last updated
Sep 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1470DT KY Primary

Addresses

Primary practice location

120 Jill Dr
Berea, KY 40403-1677

Mailing address

2048 Moss Creek CT
Richmond, KY 40475-8983
Phone (859) 200-4489

Other practice location 1

107 Crosswind Center Path
Georgetown, KY 40324-6190
Phone (502) 863-6393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100223000833 KY Practitioner - Optometry 4981748373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William F. Metzger, PSCGroup PAC ID 7911923800, 11 clinicians

Practice addresses (Care Compare)

4350 Brownsboro Rd
Suite 210
Louisville, KY 40207-1681
Phone (248) 528-2116

Merit-based Incentive Payment System (MIPS)

Final score
96.51 of 100Reported as group
Quality
75.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1470DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
William F. Metzger, PSC Optometrist CurrentSince Jul 6, 2021 Accepting new patients
Vision Tek, LLC Optometrist PastSince Sep 5, 2021 Accepting new patients
Louisville Optometric Centers, III PSC Optometrist Past Accepting new patients

Locations

4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1639320039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 MOSS CREEK CT",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758983",
            "telephone_number": "859-200-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 JILL DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031677",
            "telephone_number": "859-200-4489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 CROSSWIND CENTER PATH",
            "address_purpose": "LOCATION",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246190",
            "country_code": "US",
            "telephone_number": "502-863-6393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1470DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.