DR. GRACE YVONNE BURKE (NPI# 1821048877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821048877 |
| Entity Type | Individual |
| Full Name | DR. GRACE YVONNE BURKE |
| Credential | OD |
| Practice Address |
1815 State St Watertown NY 13601-9406 |
| Practice Telephone | 3157886070 |
| Practice Fax Number | 3157881950 |
| Mailing Telephone | 3157886070 |
| Mailing Fax Number | 3157881950 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV005387 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01780469 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079101 | Grace Elizabeth Burke | Counselor | 4401 Crenshaw Blvd, Los Angeles, CA 90043 | 2018-10-15 |
| 1063517829 | Grace Burke | Physical Therapist | 293 Route 100, Somers, NY 10589-3213 | 2006-09-14 |
| Street Address |
1815 STATE ST |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-9406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004527 | Jordan Nathaniel Hess | Physician Assistant | 1815 State St, Watertown, NY 13601-9407 | 2020-05-14 |
| 1194213751 | Kelly Bourgon | Optometrist | 1815 State St, Watertown, NY 13601 | 2018-04-28 |
| 1174983068 | Rachel Gleason | Technician/Technologist | 1815 State St, Watertown, NY 13601-9407 | 2016-03-04 |
| 1205296191 | Tara Swan | Technician/Technologist | 1815 State St, Watertown, NY 13601-9407 | 2016-03-04 |
| 1518393594 | Aimee Pecori | Optometrist | 1815 State St, Watertown, NY 13601-9407 | 2013-09-23 |
| 1689916272 | Mark Patrick Sharrow | Technician/Technologist | 1815 State St, Watertown, NY 13601-9407 | 2013-03-21 |
| 1558380964 | William Grace Crane Jr. | Ophthalmology | 1815 State St, Watertown, NY 13601-9407 | 2006-07-18 |
| 1982654901 | Noaman Sanni | Ophthalmology | 1815 State St, Watertown, NY 13601-9406 | 2006-05-11 |
| 1417907346 | M B Kayani Physician PC | Ophthalmology | 1815 State St, Watertown, NY 13601-9407 | 2006-05-11 |
| 1770533515 | Debra Anne Koloms | Ophthalmology | 1815 State St, Watertown, NY 13601-9406 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| 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 |
|---|---|---|---|---|
| 1316439177 | Michael James Caruso | Optometrist | 139 Eastwood Hall Rd, Watertown, CT 06795-1853 | 2018-06-06 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1245568682 | Desiree Monik Herron | Optometrist | 1640 S Church St, Watertown, WI 53094-6406 | 2009-11-23 |
| 1477610301 | Preston Lowe Apple Optical | Optometrist | 1622 State St, Watertown, NY 13601-3520 | 2007-01-02 |
| 1992860886 | Aimee Marie Schulte | Optometrist | 22 19th St Se, Watertown, SD 57201-3938 | 2006-12-22 |
| 1336203470 | Holly P Schneider | Optometrist | 124 Watertown St Ste 3e, Watertown, MA 02472 | 2006-12-21 |
| 1720161284 | Carolyn T Schneider-donley | Optometrist | 622 N. Church Street, Watertown, WI 53098 | 2006-10-20 |
| 1497842405 | Fred J Bresler | Optometrist | 1246 Arsenal St, Watertown, NY 13601 | 2006-10-10 |
| 1780778217 | Stephen Marc Baker | Optometrist | 608 Pearl St, Watertown, NY 13601-2194 | 2006-10-02 |
| 1487674305 | Bruce M Siegling | Optometrist | 1520 4th St Ne, Watertown, SD 57201-6824 | 2006-07-21 |
| Find all providers in WATERTOWN | ||||
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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.