Randy R Burt, OD Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7919T Issued in CA

Legal business name

RANDY R BURT, OD INC.

Practice address

852 S Grand Ave
Glendora, CA 91740-4806

Phone

(626) 914-4815

Fax

(626) 914-0502

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Randy R Burt, O.D.

Title

Optometrist

Phone

(626) 914-4815

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Brooke Kelly Bonilla, OD

  • Optometrist
  • Glendora, CA
  • NPI 1902448954
  NPD (past)
• Li Chen Li, O.D.

  • Optometrist
  • Upland, CA
  • NPI 1558741389
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1851535900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404806",
            "telephone_number": "626-914-4815",
            "fax_number": "626-914-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404806",
            "telephone_number": "626-914-4815",
            "fax_number": "626-914-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY R BURT, OD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "626-914-4815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7919T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macelda Ramos
• Maria Dolores Ramos, LCSW
• Wendy Tanya Ramos
• Angela Marie Alexander Ramsey, RN
• Paramjit Kaur Randhawa, BSC
• Revathy Ranganathan
• Kristen Danielle Rawlings, LMFT
• Raymundo S Bautista, MD, Prof Corp
• RBB Healthcare Inc.
• RBB Healthcare Inc.

• Optometrist in Glendora, CA
• Providers in Glendora, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.