Jacqueline A Burkhardt, OD
Individual provider Active NPI Optometrist · Hatboro, PA
NPI 1902842933 · NPPES record last updated Oct 28, 2025
Key facts
- NPI
- 1902842933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC3874 (FL)
- Practice address
- 331 N York Rd
Hatboro, PA 19040-2033 - Phone
- (215) 672-4300
- Fax
- (215) 672-9524
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Galiani Ophthalmology Associates, PC
Practice addresses (Care Compare)
14 Memorial Dr
Suite a
Doylestown, PA 18901-3529
Phone (215) 345-5144
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041012001248 | FL | Practitioner - Optometry | 7719947084 | |
| I20150318001376 | PA | Practitioner - Optometry | 7719947084 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG003007 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galiani Ophthalmology Associates, PC | Current |
Accepting new patients | |
| Eye Associates of Manatee LLP | Current |
Accepting new patients | |
| Pascarella Eye Care & Contact Lenses, P.C. | Optometrist | Current |
Accepting new patients |
| Eye Associates of Manatee, LLP | Current |
Accepting new patients | |
| Nova Southeastern University, Inc | Past | Accepting new patients |
Locations
6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937
2111 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 213-1385
14 Memorial Dr
Ste A
Doylestown, PA 18901
Phone (215) 345-5144
780 Newtown Yardley Rd
Ste 315
Upper Makefield, PA 18940
Phone (215) 860-9660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG003007 | PA | |
| Optometrist | 152W00000X | OPC3874 | FL | Yes |
Addresses
Primary practice location
331 N York Rd
Hatboro, PA 19040-2033
Mailing address
331 N York Rd
Hatboro, PA 19040-2033
Phone (215) 672-4300
Other practice location 1
14 Memorial Dr Ste A
Doylestown, PA 18901-3529
Phone (215) 345-5144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620951300 | Medicaid | FL |
Other providers in Hatboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.