Active NPI
Berner Eye Clinic, Inc
Doing business as Broadway Eye Clinic
- Optometrist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BERNER EYE CLINIC, INC
- Doing business as
- Broadway Eye Clinic
- Practice address
- 250 E 300 S Ste 380
Salt Lake City, UT 84111-2428 - Phone
- (801) 322-0467
- Fax
- (801) 363-6053
- NPI assigned
- Nov 22, 2005
- Last updated
- Oct 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karri A Buresh, OD
- Title
- Owner/Coe
- Phone
- (801) 322-0467
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
250 E 300 S Ste 380
Salt Lake City, UT 84111-2428
Mailing address
250 E 300 S Ste 380
Salt Lake City, UT 84111-2428
Phone (801) 322-0467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027390 | Medicaid | UT |
Other names 1
- Broadway Eye Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
250 E Broadway
Ste 110
Salt Lake City, UT 84111
Phone (801) 322-0467
250 E Broadway
#A
Salt Lake Cty, UT 84111
Phone (801) 322-0467
250 E Broadway
Salt Lake Cty, UT 84111
Phone (801) 322-0467
250 E Broadway
Ste 380
Slc, UT 84111
Phone (801) 322-0467
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Salt Lake City, UT
- NPI 1124009824
-
- Optometrist
- Salt Lake City, UT
- NPI 1902476237
-
- Optometrist
- Salt Lake City, UT
- NPI 1780063784
-
- Optometrist
- Salt Lake City, UT
- NPI 1861640658
-
- Optometrist
- Salt Lake City, UT
- NPI 1144895939
-
- Optometrist
- Medford, OR
- NPI 1871041707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1902889165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E 300 S STE 380",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841112428",
"telephone_number": "801-322-0467",
"fax_number": "801-363-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E 300 S STE 380",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841112428",
"telephone_number": "801-322-0467",
"fax_number": "801-363-6053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERNER EYE CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-22",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "BURESH",
"authorized_official_first_name": "KARRI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/COE",
"authorized_official_telephone_number": "801-322-0467",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027390",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Broadway Eye Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.