KENNETH L. BURKE, O.D. (NPI# 1659543031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659543031 |
| Entity Type | Organization |
| Organization Name | KENNETH L. BURKE, O.D. |
| Practice Address |
175 Main St S Woodbury CT 06798-3448 |
| Mailing Address |
Po Box 384 Woodbury CT 06798-0384 |
| Practice Telephone | 2032633391 |
| Mailing Telephone | 2032633391 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2009-11-03 |
| Authorized Official Name | KENNETH L. BURKE (OPTOMETRIST) |
| Authorized Official Telephone | 2032633391 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
175 MAIN ST S |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881608263 | Kenneth L Burke | Optometrist | 175 Main St S, Woodbury, CT 06798-3405 | 2006-07-28 |
| 1780142265 | Martin Raymond Ariola | Student in an Organized Health Care Education/Training Program | 175 Main St S, Woodbury, CT 06798-3448 | 2019-03-04 |
| 1003357914 | Birch Psychology LLC | Psychologist | 175 Main St S, Woodbury, CT 06798-3448 | 2017-03-10 |
| 1972912079 | Stephanie Lynam | Psychologist | 175 Main St S, Woodbury, CT 06798 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655422 | Tara Tranguch | Naturopath | 74 Main Street North, Bldg 2 - Apt 204, Woodbury, CT 06798 | 2020-10-03 |
| 1831469949 | Shannon Marie Alther | Social Worker | 660 Main St S Ste 5, Woodbury, CT 06798 | 2012-01-05 |
| 1942483060 | Karen P Sheehan-wolff | Social Worker | 39 Sherman Hill Road, Cornerstone Professional Park, Suite C101, Woodbury, CT 06798 | 2007-12-12 |
| 1104905462 | Andrea Jill Needleman | Family Medicine | 4 South Pomperaug Ave, Woodbury, CT 06798 | 2006-11-06 |
| 1609801497 | James B Marshall | Dentist | 357 Main Street South, Woodbury, CT 06798 | 2006-07-11 |
| 1629020797 | Karen Bavaro Lawlor | Chiropractor | 2 White Oak Road, Bavaro Chiropractic Center LLC, Woodbury, CT 06798 | 2006-05-17 |
| 1346643251 | Katherine Layman | Naturopath | 787 Main St S Unit A-5, Woodbury, CT 06798 | 2014-10-06 |
| 1639302847 | Douglas Foster Thompson | Counselor | 51 Sherman Hill Rd, Building A, Suite 104c, Woodbury, CT 06798 | 2009-09-03 |
| 1770562720 | Woodbury Physical Therapy LLC | Physical Medicine & Rehabilitation | 264 Main St S, Ste 200, Woodbury, CT 06798 | 2006-01-10 |
| 1528674819 | Flourishing Roots Therapy LLC | Social Worker | 51 Sherman Hill Rd, Building A, Suite 202, Woodbury, CT 06798-0679 | 2020-09-22 |
| Find all providers in zip 06798 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093083321 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1785 Radio Dr, Suite #b, Woodbury, MN 55125-9496 | 2011-12-01 |
| 1578618617 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8362 Tamarack Vlg Ste 108, Woodbury, MN 55125 | 2007-01-25 |
| 1548345457 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 1785 Radio Drive, Suite B, Woodbury, MN 55125 | 2006-10-26 |
| 1215945092 | Associated Eye Care Optical LLC | Eyewear Supplier (Equipment, not the service) | 1625 Radio Dr, Suite 310, Woodbury, MN 55125-9407 | 2006-08-04 |
| 1316434624 | Friedberg Eye Associates Pa | Eyewear Supplier (Equipment, not the service) | 661 N Broad St, Woodbury, NJ 08096-1621 | 2018-04-23 |
| 1073038683 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 7070 Tamarack Rd, Woodbury, MN 55125 | 2017-08-04 |
| 1124456413 | St. Paul Opticians, Inc. | Eyewear Supplier (Equipment, not the service) | 2080 Woodwinds Dr, Suite 230, Woodbury, MN 55125-2523 | 2013-10-23 |
| 1871890905 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 449 Commerce Dr, Woodbury, MN 55125-4872 | 2011-02-25 |
| 1629120266 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1900 Deptford Center Rd, Woodbury, NJ 08096-5624 | 2007-01-16 |
| 1669574646 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 2080 Woodwinds Dr, Suite 230, Woodbury, MN 55125-2524 | 2006-09-01 |
| Find all providers in WOODBURY | ||||
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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.