DR. KIETH J BURKART (NPI# 1891706354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891706354 |
| Entity Type | Individual |
| Full Name | DR. KIETH J BURKART |
| Credential | O.D. |
| Practice Address |
29099 Hospital Rd Suite 205 Lake Arrowhead CA 92352-2226 |
| Mailing Address |
Po Box 2226 Lake Arrowhead CA 92352-2226 |
| Practice Telephone | 9093374310 |
| Practice Fax Number | 9093365937 |
| Mailing Telephone | 9093374310 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5639 | CA | Eye and Vision Services Providers |
| Street Address |
29099 HOSPITAL RD SUITE 205 |
| City | LAKE ARROWHEAD |
| State | CA |
| Zip Code | 92352-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706394 | Julie Anne Monroe | Family Medicine | 29099 Hospital Rd, Ste 204a, Lake Arrowhead, CA 92352 | 2005-08-09 |
| 1316418254 | Arrowhead Acupuncture | Clinic/Center | 29099 Hospital Rd, Suite 112 B, Lake Arrowhead, CA 92352 | 2018-12-17 |
| 1376781682 | Donald D Doty | Family Medicine | 29099 Hospital Rd, Ste 112, Lake Arrowhead, CA 92352 | 2009-01-23 |
| 1033311998 | Laurie Kathleen Everett | Physical Therapist | 29099 Hospital Rd, Suite 106, Lake Arrowhead, CA 92352-0070 | 2007-06-04 |
| 1750594735 | Amie Marion Black | Technician, Other | 29099 Hospital Rd, Suite 103, Lake Arrowhead, CA 92352-1476 | 2007-05-07 |
| 1780719393 | William Henry Deschner | Obstetrics & Gynecology | 29099 Hospital Rd, Ste 114, Lake Arrowhead, CA 92352-1570 | 2007-02-22 |
| 1407926215 | Pharmacy Service Inc | Pharmacy | 29099 Hospital Rd, Ste 101, Lake Arrowhead, CA 92352 | 2006-11-09 |
| 1548377666 | Kieth J. Burkart, O.d., A Professional Corporation | Optometrist | 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352-2226 | 2006-08-24 |
| 1366558314 | Henry D'antonio | Optometrist | 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352-2993 | 2006-08-22 |
| 1376506857 | Erika Brigitte Herrmann | Nurse Anesthetist, Certified Registered | 29099 Hospital Rd, #200, Lake Arrowhead, CA 92352 | 2006-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952861239 | Elizabeth Kathleen White | Psychologist | 27307 State Hwy 189, #102, Lake Arrowhead, CA 92352 | 2019-03-22 |
| 1134699291 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 974 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1952871014 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 995 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1598235657 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1010 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1932674363 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 27438 Nancy Drive, Lake Arrowhead, CA 92352 | 2018-10-12 |
| 1992294813 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1000 Pine Court, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1629567573 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1032 Cedar Lane, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1730638925 | Lake Arrowhead Recovery Center | Substance Abuse Rehabilitation Facility | 28729 Palisades Drive, Lake Arrowhead, CA 92352 | 2016-09-28 |
| 1366803140 | Carolyn Burnham | Registered Nurse | 157 Brentwood Drive, Lake Arrowhead, CA 92352 | 2016-03-08 |
| 1508226994 | Lisa Lynne Hower | Counselor | 26166 Circle Drive, Lake Arrowhead, CA 92352 | 2016-02-29 |
| Find all providers in zip 92352 | ||||
| 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 |
|---|---|---|---|---|
| 1548377666 | Kieth J. Burkart, O.d., A Professional Corporation | Optometrist | 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352-2226 | 2006-08-24 |
| 1366558314 | Henry D'antonio | Optometrist | 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352-2993 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183428 | Ashley Park | Optometrist | 386 S Green Valley Rd Ste 2, Watsonville, CA 95076-3007 | 2020-10-30 |
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1912506155 | Minati Desai Acharya, O.d., Optometric Corporation | Optometrist | 117 Pelton Center Way, San Leandro, CA 94577-4815 | 2020-10-20 |
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1649878521 | Jennie Lin | Optometrist | 12914 Cranleigh St, Cerritos, CA 90703-7245 | 2020-10-13 |
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1114524196 | Kenneth E. Sweeney, O.d., Inc. | Optometrist | 825 Pollard Rd Ste 208, Los Gatos, CA 95032-1435 | 2020-10-03 |
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ARROWHEAD |
| Zip Code | 92352 |
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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.