Individual provider Active NPI

Maureen Burke, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1851959324
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5368 Issued in MA
Practice address
50 Staniford St Ste 600
Boston, MA 02114-2587
Phone
(800) 635-0489
NPI assigned
May 30, 2019
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X 5368 MA Primary

Addresses

Primary practice location

50 Staniford St Ste 600
Boston, MA 02114-2587

Mailing address

50 Staniford St Ste 600
Boston, MA 02114-2539
Phone (800) 635-0489

Other practice location 1

198 Elm St
North Cambridge, MA 02140-1303
Phone (617) 628-6800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Burke.Maureen.OCB@direct.partners.masshiway.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20191016001835 MA Practitioner - Optometry 1658602032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 Staniford St
Suite 600
Boston, MA 02114-2539
Phone (617) 367-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Boston, Inc. Current Accepting new patients
Ophthalmic Consultants of Boston, Inc Optometrist CurrentSince Aug 2, 2021 Accepting new patients
Ophthalmic Consultants of Boston, Inc. CurrentSince Aug 2, 2021 Accepting new patients

Locations

50 Staniford St
Ste 600
Boston, MA 02114
Phone (617) 367-4800

282 Route 130
Sandwich, MA 02563
Phone (508) 427-3720

Interoperability endpoints

  • Direct secure messaging: burke.maureen.ocb@direct.partners.masshiway.net

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, 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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1851959324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST STE 600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142539",
            "telephone_number": "800-635-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST STE 600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142587",
            "telephone_number": "800-635-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "198 Elm St",
            "address_purpose": "LOCATION",
            "city": "North Cambridge",
            "state": "MA",
            "postal_code": "021401303",
            "country_code": "US",
            "telephone_number": "617-628-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MAUREEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2022-01-14",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Burke.Maureen.OCB@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "50 Staniford St Ste 600",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021142587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.