Active NPI
Lan F Burch, OD
- Optometrist
- West Memphis, AR
National Provider Identifier
1790750750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2025
- Practice address
- 201 S Avalon St
West Memphis, AR 72301-4172 - Phone
- (870) 732-4701
- Fax
- (870) 732-5400
- NPI assigned
- Feb 22, 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 | 2025 | AR | Primary |
Addresses
Primary practice location
201 S Avalon St
West Memphis, AR 72301-4172
Mailing address
201 S Avalon St
West Memphis, AR 72301-4172
Phone (870) 732-4701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101945722 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Julie T Caldwell OD PA | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- West Memphis, AR
- NPI 1447489612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1790750750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S AVALON ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723014172",
"telephone_number": "870-732-4701",
"fax_number": "870-732-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S AVALON ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723014172",
"telephone_number": "870-732-4701",
"fax_number": "870-732-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "LAN",
"middle_name": "F",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101945722",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.