Active NPI
Thomas Carl Burton, MD
- Ophthalmology Physician
- Waukesha, WI
National Provider Identifier
1669610119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25769-020
- Practice address
- 1017 Sweetbriar Drive
Waukesha, WI 53186-6720 - Phone
- (262) 549-6887
- Fax
- (262) 549-6887
- NPI assigned
- Jan 21, 2009
- Last updated
- Jan 21, 2009
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25769-020 | WI | Primary |
Addresses
Primary practice location
1017 Sweetbriar Drive
Waukesha, WI 53186-6720
Mailing address
1017 Sweetbriar Drive
Waukesha, WI 53186-6720
Phone (262) 549-6887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25769-020 | WI | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1669610119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 SWEETBRIAR DRIVE",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531866720",
"telephone_number": "262-549-6887",
"fax_number": "262-549-6887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 SWEETBRIAR DRIVE",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531866720",
"telephone_number": "262-549-6887",
"fax_number": "262-549-6887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "THOMAS",
"middle_name": "CARL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-21",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "25769-020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.