DR. GERMAINE NOEL BURKE (NPI# 1376628404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376628404 |
| Entity Type | Individual |
| Full Name | DR. GERMAINE NOEL BURKE |
| Other Name | DR. GERMAINE NOEL HERNANDEZ |
| Credential | O.D. |
| Practice Address |
441 S Ham Ln Suite B Lodi CA 95242-3525 |
| Mailing Address |
441 S. Ham Lane Suite B Lodi CA 95242 |
| Practice Telephone | 2092245454 |
| Practice Fax Number | 2092248791 |
| Mailing Telephone | 2092245454 |
| Mailing Fax Number | 2092248791 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2017-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 9259T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0092590 | 05 |
| Street Address |
441 S HAM LN SUITE B |
| City | LODI |
| State | CA |
| Zip Code | 95242-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316050321 | Susan Mary Williams | Nurse Practitioner | 441 S Ham Ln, Suite A, Lodi, CA 95242-3525 | 2006-08-16 |
| 1558996900 | Veronica Marie Alfalla | Counselor | 441 S Ham Ln, Lodi, CA 95242-3525 | 2020-03-05 |
| 1235607318 | Kelsey Anne Price | Optometrist | 441 S Ham Ln, Ste B, Lodi, CA 95242-3525 | 2018-11-07 |
| 1265936298 | Francisco Valencia | Counselor | 441 S Ham Ln, Lodi, CA 95242-3525 | 2018-03-23 |
| 1932645009 | Richard Santacruz Garcia | Licensed Vocational Nurse | 441 S Ham Ln, Suite A, Lodi, CA 95242-3525 | 2017-01-13 |
| 1659791101 | Brian Nabil Talleur | Family Medicine | 441 S Ham Ln, Lodi, CA 95242-3525 | 2014-04-23 |
| 1699047332 | Burke Optometry, Inc. | Optometrist | 441 S Ham Ln, Suite B, Lodi, CA 95242-3525 | 2012-01-26 |
| 1093032559 | Kathryn Josephine Trunnell | Counselor | 441 S Ham Ln, Suite A, Lodi, CA 95242-3525 | 2010-04-23 |
| 1508092479 | Alyce E Valenzuela | Counselor | 441 S Ham Ln, Suite A, Lodi, CA 95242-3525 | 2009-06-05 |
| 1306067939 | Cheryl Ann Wakeham | Counselor | 441 S Ham Ln, Suite A, Lodi, CA 95242-3525 | 2007-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
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| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474261 | Krishna Patel | Optometrist | 421 S Ham Ln Ste A, Lodi, CA 95242-3523 | 2019-08-30 |
| 1679069827 | Daniel & Max LLC | Optometrist | 1401 S Lower Sacramento Rd Ste 140, Lodi, CA 95242-9765 | 2018-07-10 |
| 1902947179 | Larry James Simpfenderfer | Optometrist | 1210 W Tokay St, Lodi, CA 95240-3810 | 2007-02-09 |
| 1295819944 | Robert Williams Dupree Jr. | Optometrist | 400 S Fairmont Ave, Lodi, CA 95240-3802 | 2006-10-25 |
| 1699875690 | Melanie Anne Mook | Optometrist | 621 S Ham Ln, Suite C, Lodi, CA 95242-3533 | 2006-09-22 |
| 1205940889 | William C Henshaw | Optometrist | 801 S Fairmont Ave Ste 5, Lodi, CA 95240-5106 | 2006-08-19 |
| 1346221512 | Peter V Hetzner | Optometrist | 421 S Ham Ln, Ste B, Lodi, CA 95242-3523 | 2005-11-07 |
| 1235607318 | Kelsey Anne Price | Optometrist | 441 S Ham Ln, Ste B, Lodi, CA 95242-3525 | 2018-11-07 |
| 1831445352 | Hieu Minh Ly | Optometrist | 521 S Ham Ln, Lodi, CA 95242-3528 | 2012-08-02 |
| 1699047332 | Burke Optometry, Inc. | Optometrist | 441 S Ham Ln, Suite B, Lodi, CA 95242-3525 | 2012-01-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.