Active NPI
Michael D Burkhart, O.D.
- Optometrist
- Wyomissing, PA
National Provider Identifier
1649213273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG 000422
- Practice address
- 714 Woodland Rd
Wyomissing, PA 19610-3231 - Phone
- (610) 376-7272
- NPI assigned
- Jun 13, 2006
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG 000422 | PA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Optometrist
- Wyomissing, PA
- NPI 1497279095
-
- Optometrist
- Lebanon, PA
- NPI 1417953928
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.