Robert Leo Burgess, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

OP 00169 Issued in RI

Practice address

15 Touro St
Newport, RI 02840-2912

Phone

(401) 846-0101

Fax

(401) 846-6161

NPI assigned

Dec 15, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Brown Vision Care, Inc

  • Optometrist
  • East Providence, RI
  • NPI 1235293580
  NPD (past)
• Brown Vision Care, Inc

  dba Newport Eyeworks

  • Optometrist
  • Newport, RI
  • NPI 1326379041
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972665818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TOURO ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402912",
            "telephone_number": "401-846-0101",
            "fax_number": "401-846-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TOURO ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402912",
            "telephone_number": "401-846-0101",
            "fax_number": "401-846-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "ROBERT",
        "middle_name": "LEO",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "RI",
            "license": "OP 00169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0000029104-0",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "412086",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vania Louisa Brown-Small, APRN, BC
• Grace Brown
• Sheri A Brown, FNP
• Kiersten Buck, RN
• Carrie Lee Burger, DDS
• Brenda J. Burke, DO
• Gina Anne Butler, RD
• Judith Anne Byrnes, CDE
• Donna Distefano Byron, RN
• Karen L Cadwalader, APRN, CNS

• Optician in Newport, RI
• Providers in Newport, RI by specialty
• Optician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.