DR. MATTHEW EVAN BURGESS (NPI# 1477702835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477702835 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW EVAN BURGESS |
| Credential | O.D. |
| Practice Address |
2855 Main Ave Ste A103 Durango CO 81301-5956 |
| Mailing Address |
215 W 26th St Durango CO 81301-5913 |
| Practice Telephone | 9703828970 |
| Practice Fax Number | 9703828966 |
| Mailing Telephone | 5053216703 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2013-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 628 | NM | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 2950 | CO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 87787857 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780995548 | Matthew Daniel Burgess | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 | 2010-06-27 |
| Street Address |
2855 MAIN AVE STE A103 |
| City | DURANGO |
| State | CO |
| Zip Code | 81301-5956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740397587 | Regan S Thaw | Social Worker | 2855 Main Ave, Suite A105, Durango, CO 81301-5956 | 2006-08-25 |
| 1255737581 | Mark Dickmann, Msw, Lcsw, LLC | Social Worker | 2855 Main Ave, Suite A-107, Durango, CO 81301-5956 | 2014-11-13 |
| 1639517766 | Envision Durango LLC | Optometrist | 2855 Main Ave, Ste A103, Durango, CO 81301-5956 | 2013-06-11 |
| 1568766319 | Peak Wellness and Nutrition Inc. | Clinic/Center | 2855 Main Ave, Ste. 105a, Durango, CO 81301-5956 | 2011-01-07 |
| 1164620886 | Mark Rm Dickmann | Social Worker | 2855 Main Ave, Suite A-107, Durango, CO 81301-5956 | 2007-07-03 |
| 1336283761 | Ruby Jo Walker | Social Worker | 2855 Main Ave, Unit A107, Durango, CO 81301-5956 | 2007-02-18 |
| 1528169117 | Four Corners Mental Health, LLC | Psychologist | 2855 Main Ave, Suite A105, Durango, CO 81301 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
| 1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
| 1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
| 1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
| 1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
| 1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
| 1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
| 1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
| Find all providers in zip 81301 | ||||
| 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 |
|---|---|---|---|---|
| 1942722962 | Gretchen Arneson | Optometrist | 2855 Main Ave Ste A103, Durango, CO 81301-5959 | 2017-07-11 |
| 1942432976 | Caitlin Jean Campbell | Optometrist | 2855 N Main, Ste A103, Durango, CO 81301 | 2009-08-09 |
| 1558542563 | Ha Thi Kim Huynh | Optometrist | 270 E 8th Ave Ste N101, Durango, CO 81301-5708 | 2007-11-19 |
| 1275682403 | James Paul Jackson | Optometrist | 1845 Main Ave, Durango, CO 81301-5035 | 2007-01-09 |
| 1669533238 | Randy W Ash | Optometrist | 765 E College Dr, Suite #1, Durango, CO 81301-5547 | 2006-12-13 |
| 1447346689 | Mark R. Rahner, O.d., P.C. | Optometrist | 1165 S Camino Del Rio Ste 100, Durango, CO 81303-6824 | 2006-10-05 |
| 1043285356 | Lee Ann Hoven | Optometrist | 1165 S. Camino Del Rio, Suite 100, Durango, CO 81301 | 2006-02-21 |
| 1447224969 | Joanne Lew-goltz | Optometrist | 1155 S Camino Del Rio, Durango, CO 81303-6698 | 2006-02-13 |
| 1356879944 | Davis Capaccioli | Optometrist | 1165 S Camino Del Rio Ste 100, Durango, CO 81303-6824 | 2017-05-26 |
| 1639517766 | Envision Durango LLC | Optometrist | 2855 Main Ave, Ste A103, Durango, CO 81301-5956 | 2013-06-11 |
| Find all providers in DURANGO | ||||
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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.