Kieth J Burkart, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5639 Issued in CA

Practice address

29099 Hospital Rd
Suite 205
Lake Arrowhead, CA 92352-2226

Phone

(909) 337-4310

Fax

(909) 336-5937

NPI assigned

Aug 10, 2006

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kieth J. Burkart, O.D., a Professional Corporation

  • Optometrist
  • Lake Arrowhead, CA
  • NPI 1548377666
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1891706354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2226",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "923522226",
            "telephone_number": "909-337-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29099 HOSPITAL RD",
            "address_2": "SUITE 205",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "923522226",
            "telephone_number": "909-337-4310",
            "fax_number": "909-336-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKART",
        "first_name": "KIETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry John Biederman, D.P.M.
• Amie Marion Black, LMT
• Terry Lynn Blasingame
• Blue Jay Recovery Inc
• Shellie Mundall Boydston, RDHAP
• Carolyn Burnham, R.N.
• Heather Rachelle Byrd, LMFT
• Ann Cassel Cairns, CRNA
• Daniel Peter Calabrese, M.D.
• David Bower Chamlee, P.T.

• Optometrist in Lake Arrowhead, CA
• Providers in Lake Arrowhead, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.

Verify at the official NPI Registry.