Active NPI
Scott Douglas Burge, O.D.
- Optometrist
- Annapolis, MD
National Provider Identifier
1689680845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- DA0778
- Practice address
- 490 Sara Dr
Annapolis, MD 21401-6532 - Phone
- (410) 000-0000
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | DA0778 | MD | Primary |
Addresses
Primary practice location
490 Sara Dr
Annapolis, MD 21401-6532
Mailing address
490 Sara Dr
Annapolis, MD 21401-6532
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1689680845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 SARA DR",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214016532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 SARA DR",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214016532",
"telephone_number": "410-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGE",
"first_name": "SCOTT",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "DA0778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.