Individual provider Active NPI

Michael D Burkhart, O.D.

  • Optometrist
  • Wyomissing, PA
National Provider Identifier
1649213273
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG 000422 Issued in PA
Practice address
714 Woodland Rd
Wyomissing, PA 19610-3231
Phone
(610) 376-7272
NPI assigned
Jun 13, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OEG 000422 PA
Optometrist 152W00000X OEG 000422 PA Primary

Addresses

Primary practice location

714 Woodland Rd
Wyomissing, PA 19610-3231

Mailing address

245 Golf Rd
Myerstown, PA 17067-2205
Phone (717) 926-2221

Other practice location 1

337 E 21st St
Northampton, PA 18067-1207
Phone (610) 261-2056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090511000524 PA Practitioner - Optometry 4981752441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpha Eye Wyomissing, LLCGroup PAC ID 4082971585, 3 clinicians

Practice addresses (Care Compare)

337 E 21St St
Northampton, PA 18067-1207
Phone (610) 261-2056

714 Woodland Rd
Wyomissing, PA 19610-3231
Phone (484) 772-8121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG 000422PAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lebanon Eyecare Associates Optometrist Past Accepting new patients

Organizations & group practices 3

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649213273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 GOLF RD",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672205",
            "telephone_number": "717-926-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 WOODLAND RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103231",
            "telephone_number": "610-376-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 E 21st St",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "PA",
            "postal_code": "180671207",
            "country_code": "US",
            "telephone_number": "610-261-2056",
            "fax_number": "610-261-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKHART",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG 000422",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG 000422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.