Active NPI
David Kenneth Burns, OPTOMETRIST
- Optometrist
- Cincinnati, OH
National Provider Identifier
1659425585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3927
- Practice address
- 4621 Eastgate Blvd
Cincinnati, OH 45245-1203 - Phone
- (513) 753-8172
- Fax
- (513) 752-5831
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3927 | OH | Primary |
Addresses
Primary practice location
4621 Eastgate Blvd
Cincinnati, OH 45245-1203
Mailing address
6926 Number Five Rd
Pleasant Plain, OH 45162-9619
Phone (513) 625-1872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3927 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659425585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6926 NUMBER FIVE RD",
"city": "PLEASANT PLAIN",
"state": "OH",
"postal_code": "451629619",
"telephone_number": "513-625-1872",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4621 EASTGATE BLVD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452451203",
"telephone_number": "513-753-8172",
"fax_number": "513-752-5831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "DAVID",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "OPTOMETRIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.