Burton C Blaurock OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5996T Issued in CA

Legal business name

BURTON C BLAUROCK OD

Doing business as

Elegant Eye Optometry

Practice address

42390 Bob Hope Dr
Rancho Mirage, CA 92270-4469

Phone

(760) 340-4524

Fax

(760) 340-4796

NPI assigned

Mar 4, 2009

Last updated

Apr 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Burton Charles Blaurock, OPTOMETRISTNPI 1194719302

Title

Owner

Phone

(760) 340-4524

Specialties & licenses 1

Addresses

Other names 1

• ELEGANT EYE OPTOMETRY Doing business as

Locations

Practitioners 1

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.

• Burton Charles Blaurock, O.D.

  • Optometrist
  • Rancho Mirage, CA
  • NPI 1194719302
  NPD (past) Authorized official

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1912147869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42390 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704469",
            "telephone_number": "760-340-4524",
            "fax_number": "760-340-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42390 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704469",
            "telephone_number": "760-340-4524",
            "fax_number": "760-340-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURTON C BLAUROCK OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "BLAUROCK",
        "authorized_official_first_name": "BURTON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-340-4524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5996T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELEGANT EYE OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Franklin Burkeen, M.D.
• Corey Lee Burkett, ACNPC-AG
• Christopher Burnett
• Amy Elizabeth Burns, COTA L
• Krista Lynn Burris, MD
• Robert Joseph Bush, MD
• Kelly J. Bustos, NURSE PRACTICTIONER
• Evelyn Caballero, M.D.
• Cabanas and Lee Dental Corporation (Rancho Mirage Dental Group)
• Carol Lynn Cabanas, D.D.S.

• Optometrist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.