Individual provider Active NPI

John J Burrell, OD

  • Optometrist
  • Trooper, PA
National Provider Identifier
1801874367
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000682 Issued in PA
Practice address
10 Clearfield Ave
Trooper, PA 19403-1655
Phone
(610) 631-1142
NPI assigned
Jan 5, 2006
Last updated
May 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000682 PA Primary

Addresses

Primary practice location

10 Clearfield Ave
Trooper, PA 19403-1655

Mailing address

10 Clearfield Ave
Trooper, PA 19403-1655
Phone (610) 631-1142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110513000258 PA Practitioner - Optometry 9739365420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Eye Care OptometricGroup PAC ID 2567434137, 2 clinicians

Practice addresses (Care Compare)

10 Clearfield Ave
Trooper, PA 19403-1655
Phone (610) 631-1142

467 Macdade Blvd
Collingdale, PA 19023-3209
Phone (610) 586-1506

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000682PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Eye Care Optometric Optometrist CurrentSince Apr 27, 1998 Accepting new patients
Collingdale Vision Center LLC Optometrist CurrentSince Apr 1, 2013 Accepting new patients

Locations

3070 Bristol Pike
Ste 2-220
Bensalem, PA 19020
Phone 2144971001108

10 Clearfield Ave
Trooper, PA 19403
Phone (610) 272-1644

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1801874367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CLEARFIELD AVE",
            "city": "TROOPER",
            "state": "PA",
            "postal_code": "194031655",
            "telephone_number": "610-631-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CLEARFIELD AVE",
            "city": "TROOPER",
            "state": "PA",
            "postal_code": "194031655",
            "telephone_number": "610-631-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trooper, PA

Sources for this page

Verify at the official NPI Registry.