Carolyn Marie Burger

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO 3874 Issued in FL

Practice address

13132 Cortez Blvd
Brooksville, FL 34613-4858

Phone

(352) 597-0410

Fax

(352) 597-0420

NPI assigned

May 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Optimart, Inc.

  • Optician
  • Brooksville, FL
  • NPI 1740497676
  NPD (past)
• Optimart, Inc.

  • Optician
  • Seminole, FL
  • NPI 1922215136
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1679985410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4399 35TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337143722",
            "telephone_number": "727-526-0501",
            "fax_number": "727-522-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13132 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346134858",
            "telephone_number": "352-597-0410",
            "fax_number": "352-597-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGER",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO 3874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaina R Browning, LMT
• Sharon Bruce, PAC
• Philip John Brunton, D.C.
• Kelly Buckner, PTA
• Agatha Chulu Burdick
• Robert Burns, MD
• Elisia Marie Burse, LCSW
• Tara Byrd
• Kiomary Caban-Hernandez, CRNA
• Leonard R Cacioppo, M.D.

• Optician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.