Active NPI
Burke Optometry, Inc.
Doing business as Burke Optometry
- Optometrist
- Lodi, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9259
- Legal business name
- BURKE OPTOMETRY, INC.
- Doing business as
- Burke Optometry
- Practice address
- 441 S Ham LN
Suite B
Lodi, CA 95242-3525 - Phone
- (209) 224-5454
- NPI assigned
- Jan 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Germaine N Burke, O.D.
- Title
- Optometrist/Co-Owner
- Phone
- (209) 224-5454
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9259 | CA | Primary |
Addresses
Primary practice location
441 S Ham LN
Suite B
Lodi, CA 95242-3525
Mailing address
441 S. Ham Lane
Suite B
Lodi, CA 95242
Phone (209) 224-5454
Other names 1
- Burke Optometry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Burke Optometry | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
441 S Ham Ln
Ste B
Lodi, CA 95242
Phone (209) 224-5454
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Lodi, CA
- NPI 1376628404
-
- Optometrist
- San Francisco, CA
- NPI 1336818384
-
- Optometrist
- Stockton, CA
- NPI 1235607318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672963200000",
"number": "1699047332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 S. HAM LANE",
"address_2": "SUITE B",
"city": "LODI",
"state": "CA",
"postal_code": "95242",
"telephone_number": "209-224-5454",
"fax_number": "209-224-8791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 S HAM LN",
"address_2": "SUITE B",
"city": "LODI",
"state": "CA",
"postal_code": "952423525",
"telephone_number": "209-224-5454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURKE OPTOMETRY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-26",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "GERMAINE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OPTOMETRIST/CO-OWNER",
"authorized_official_telephone_number": "209-224-5454",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "9259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Burke Optometry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.