Individual provider Active NPI

Caleen Burke

  • Optometrist
  • Fayetteville, AR
National Provider Identifier
1710406863
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2918 Issued in OK
Practice address
3919 N Mall Ave
Fayetteville, AR 72703-4906
Phone
(479) 439-0131
NPI assigned
Sep 10, 2017
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2918 OK Primary
Optometrist 152W00000X 4051 AR

Addresses

Primary practice location

3919 N Mall Ave
Fayetteville, AR 72703-4906

Mailing address

18046 County Road 558
Colcord, OK 74338-3259
Phone (417) 252-1864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20260310002447 AR Practitioner - Optometry 9335429745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18046 County Rd
Suite 558
Colcord, OK 74338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4051ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
RCB, PLLC Optometrist CurrentSince Dec 21, 2015 Accepting new patients

Locations

3919 N Mall Ave
Fayetteville, AR 72703
Phone (479) 443-9267

Organizations & group practices 1

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": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1710406863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18046 COUNTY ROAD 558",
            "city": "COLCORD",
            "state": "OK",
            "postal_code": "743383259",
            "telephone_number": "417-252-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 N MALL AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034906",
            "telephone_number": "479-439-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "CALEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2918",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "4051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.