Individual provider Active NPI

Clarissa Nicole Burns, OD

  • Optometrist
  • Beavercreek, OH
National Provider Identifier
1639941099
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007223 Issued in OH
Practice address
4244 Indiana Ripple Rd
Suite 100
Beavercreek, OH 45440
Phone
(937) 320-0300
Fax
(937) 320-0500
NPI assigned
Oct 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007223 OH Primary
Optometrist 152W00000X 2363DT KY

Addresses

Primary practice location

4244 Indiana Ripple Rd
Suite 100
Beavercreek, OH 45440

Mailing address

4244 Indiana Ripple Road
Suite 100
Dayton, OH 45440
Phone (937) 320-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240307001902 OH Practitioner - Optometry 5799121174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Vision Care, P.L.L.Group PAC ID 1052397809, 4 clinicians

Practice addresses (Care Compare)

4244 Indian Ripple Rd
Suite 100
Beavercreek, OH 45440-3248
Phone (937) 320-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2363DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Butler County Community Health Consortium Inc Current Accepting new patients
Butler County Community Health Consortium Inc Current Accepting new patients
Butler County Community Health Consortium, Inc. CurrentSince Jan 29, 2024 Accepting new patients
Butler County Community Health Consortium, Inc. Current Accepting new patients
Butler County Community Health Consortium, Inc. CurrentSince Jan 29, 2024 Accepting new patients
Butler County Community Health Consortium, Inc. Current Accepting new patients
Nova Vision Care, P.L.L. Optometrist CurrentSince Jan 12, 2026 Accepting new patients
Butler County Community Health Consortium, Inc. Past Accepting new patients

Locations

4244 Indian Ripple Rd
Ste 100
Dayton, OH 45440
Phone (937) 320-0300

250 N Fair Ave
Ste B
Hamilton, OH 45011

Interoperability endpoints

  • Direct secure messaging: clarissa.burns.p5@direct.myprimaryhealth.nextgenshare.com

Organizations & group practices 8

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": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1639941099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4244 INDIANA RIPPLE ROAD",
            "address_2": "SUITE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45440",
            "telephone_number": "937-320-0300",
            "fax_number": "937-320-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4244 INDIANA RIPPLE RD",
            "address_2": "SUITE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "45440",
            "telephone_number": "937-320-0300",
            "fax_number": "937-320-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "CLARISSA",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007223",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2363DT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.