Individual provider Active NPI

Angela N Burda, O.D.

  • Optometrist
  • Quakertown, PA
National Provider Identifier
1689939324
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002653 Issued in PA
Practice address
684 N West End Blvd
Quakertown, PA 18951-4100
Phone
(215) 536-7023
Fax
(215) 536-7212
NPI assigned
Jul 9, 2012
Last updated
Apr 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002653 PA Primary

Addresses

Primary practice location

684 N West End Blvd
Quakertown, PA 18951-4100

Mailing address

684 N West End Blvd
Quakertown, PA 18951-4100
Phone (215) 536-7023

Other identifiers 1

IdentifierTypeStateIssuer
102734493MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000265 PA Practitioner - Optometry 7113173204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002653PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Dec 30, 2023 Accepting new patients
Visionworks, Inc CurrentSince Dec 30, 2023 Accepting new patients

Locations

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

684 N West End Blvd
Quakertown, PA 18951
Phone (215) 536-7023

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1689939324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 N WEST END BLVD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189514100",
            "telephone_number": "215-536-7023",
            "fax_number": "215-536-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 N WEST END BLVD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189514100",
            "telephone_number": "215-536-7023",
            "fax_number": "215-536-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDA",
        "first_name": "ANGELA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102734493",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quakertown, PA

Sources for this page

Verify at the official NPI Registry.