Individual provider Active NPI

Laura Christine Burke, M.D.

  • Ophthalmology Physician
  • McMinnville, OR
National Provider Identifier
1831448836
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
140291 Issued in CA
Practice address
2445 NE Cumulus Ave Ste a
McMinnville, OR 97128-8862
Phone
(034) 724-6885
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 140291 CA Primary

Addresses

Primary practice location

2445 NE Cumulus Ave Ste a
McMinnville, OR 97128-8862

Mailing address

4201 Torrance Blvd Ste 220
Retina Macula Institute
Torrance, CA 90503

Other names 1

  • Laura Christine Sullivan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180327001275 OR Practitioner - Ophthalmology 2668772542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Creighton University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates PCGroup PAC ID 0648265470, 17 clinicians

Practice addresses (Care Compare)

100 Mullins Dr
Suite B3
Lebanon, OR 97355-2868
Phone (541) 451-5808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
140291CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McMinnville Eye Clinic PC Ophthalmology CurrentSince Apr 1, 2018 Accepting new patients
Eyecare Associates PC Ophthalmology CurrentSince Oct 1, 2025 Accepting new patients
JHS Inc PastSince Jan 2, 2022 Accepting new patients

Locations

2119 Pacific Blvd SW
Ste 101
Albany, OR 97321
Phone (541) 928-2020

2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848

100 Mullins Dr
Ste B3
Lebanon, OR 97355
Phone (541) 451-5808

4079 NW Logan Rd
Ste B
Lincoln City, OR 97367
Phone (541) 994-7652

2445 NE Cumulus Ave
#A
McMinnville, OR 97128
Phone (503) 472-3842

235 SE Norton Ln
Ste A
McMinnville, OR 97128
Phone (503) 472-3842

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1831448836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 220",
            "address_2": "RETINA MACULA INSTITUTE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 NE CUMULUS AVE STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288862",
            "telephone_number": "034-724-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "LAURA",
        "middle_name": "CHRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "140291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SULLIVAN",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McMinnville, OR

Sources for this page

Verify at the official NPI Registry.