Organization Active NPI

Dr Lynn Burford P C

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1780711515
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002434A Issued in IN
Legal business name
DR LYNN BURFORD P C
Practice address
10485 N Pennsylvania
Indianapolis, IN 46280
Phone
(317) 846-7600
Fax
(317) 846-5574
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Dr. Lynn BurfordNPI 1992875868
Title
Owner
Phone
(317) 846-7600

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18002434A IN Primary

Addresses

Primary practice location

10485 N Pennsylvania
Indianapolis, IN 46280

Mailing address

10485 N Pennsylvania
Indianapolis, IN 46280
Phone (317) 846-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070307000389 IN Part B Supplier - Clinic/Group Practice 0042313397 Receives reassigned benefits from 2 practitioners
Practice locations: Carmel, IN

National Provider Directory

National Provider Directory

Locations

10485 N Pennsylvania St
Carmel, IN 46280
Phone (317) 846-7600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1780711515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10485 N PENNSYLVANIA",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46280",
            "telephone_number": "317-846-7600",
            "fax_number": "317-846-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10485 N PENNSYLVANIA",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46280",
            "telephone_number": "317-846-7600",
            "fax_number": "317-846-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LYNN BURFORD P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "BURFORD",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-846-7600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002434A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.