Individual provider Active NPI

Christian G Burch, OD

  • Optometrist
  • Wheaton, IL
National Provider Identifier
1699883033
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00304600840301 Issued in IL
Practice address
324 E Roosevelt Rd
Wheaton, IL 60187-5563
Phone
(630) 668-0378
Fax
(630) 668-1989
NPI assigned
Aug 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 00304600840301 IL Primary

Addresses

Primary practice location

324 E Roosevelt Rd
Wheaton, IL 60187-5563

Mailing address

324 E Roosevelt Rd
Wheaton, IL 60187-5563
Phone (630) 668-0378

Other identifiers 1

IdentifierTypeStateIssuer
2220256OtherILBLUE CROSS BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20060208000301 IL Practitioner - Optometry 7315952652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

324 E Roosevelt Rd
Wheaton, IL 60187-5563
Phone (630) 668-0378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00304600840301ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Danada Vision Center, LLC Optometrist Current Accepting new patients

Locations

115 Danada Sq E
Wheaton, IL 60189
Phone (630) 668-0378

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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1699883033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875563",
            "telephone_number": "630-668-0378",
            "fax_number": "630-668-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875563",
            "telephone_number": "630-668-0378",
            "fax_number": "630-668-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "CHRISTIAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2025-09-11",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "00304600840301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS",
            "identifier": "2220256",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.