Active NPI
Burton Kraft, OD
- Optometrist
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0601001065
- Practice address
- 8359 Leesburg Pike
Vienna, VA 22182-2492 - Phone
- (703) 442-9295
- Fax
- (703) 749-0936
- NPI assigned
- Oct 19, 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 | 0601001065 | VA | Primary |
Addresses
Primary practice location
8359 Leesburg Pike
Vienna, VA 22182-2492
Mailing address
11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13004 Red Admiral PL
Fairfax, VA 22033-3700
19100 Ridgewood Pkwy
San Antonio, TX 78259-1828
19100 Ridgewood Pkwy
BLDG 1 7TH Floor
San Antonio, TX 78259-0001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0601001065 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Poth, O.D. and Associates, P.C. | Optometrist | Current | Accepting new patients |
| Daniel Poth, O.D. and Associates, P.C. | Optometrist | Current | Accepting new patients |
Locations
11130L South Lakes Dr
Reston, VA 20191
Phone (703) 471-1012
8359 Leesburg Pike
Vienna, VA 22182
Phone (703) 442-9285
2700 Potomac Mills Cir
Ste 105
Woodbridge, VA 22192
Phone (703) 494-0660
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720160740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11103 WEST AVE",
"address_2": "SUITE 6",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131370",
"telephone_number": "210-524-6509",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8359 LEESBURG PIKE",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822492",
"telephone_number": "703-442-9295",
"fax_number": "703-749-0936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAFT",
"first_name": "BURTON",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0601001065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.