Active NPI
Laura Christine Burke, M.D.
- Ophthalmology Physician
- McMinnville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 140291
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 140291 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McMinnville Eye Clinic PC | Ophthalmology | Current | Accepting new patients |
| Eyecare Associates PC | Ophthalmology | Current | Accepting new patients |
| JHS Inc | Past | 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
- 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.
-
- Ophthalmology Physician
- Albany, OR
- NPI 1013964113
-
- Ophthalmology Physician
- McMinnville, OR
- NPI 1992819445
-
- Durable Medical Equipment & Medical Supplies
- Lincoln City, OR
- NPI 1780764944
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.