DR. ROBERT BURTCH III (NPI# 1649667122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649667122 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BURTCH III |
| Credential | O.D. |
| Practice Address |
113 Holland Ave Albany NY 12208-3410 |
| Mailing Address |
10 Tupelo Dr Oswego NY 13126-6713 |
| Practice Telephone | 5186265850 |
| Practice Fax Number | 5186265846 |
| Mailing Telephone | 3155296894 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002997 | CT | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 0905 | NH | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538579081 | Robert Dale Burtch | Community/Behavioral Health | 5072 Allred Rd, Mariposa, CA 95338-9705 | 2014-05-06 |
| Street Address |
113 HOLLAND AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418895 | Walter Clinton Rockenstire IIi | Nurse Practitioner | 113 Holland Ave, Albany, NY 12208-3410 | 2005-06-27 |
| 1922622976 | Alice Jou | Student in an Organized Health Care Education/Training Program | 113 Holland Ave, Albany, NY 12208-3410 | 2020-06-05 |
| 1356964217 | Katherine Jane Orioli | Student in an Organized Health Care Education/Training Program | 113 Holland Ave, Albany, NY 12208-3410 | 2020-05-26 |
| 1871133686 | Michael John Hayes | Registered Nurse | 113 Holland Ave, Albany, NY 12208-3410 | 2020-01-09 |
| 1619516481 | Kathleen Liberta Fitzgerald | Recreational Therapist Assistant | 113 Holland Ave, Albany, NY 12208-3410 | 2019-12-27 |
| 1346888328 | Christina Mary Rulison | Music Therapist | 113 Holland Ave, Albany, NY 12208-3410 | 2019-12-20 |
| 1225676216 | Michele Ferrauilo | Recreation Therapist | 113 Holland Ave, Albany, NY 12208 | 2019-12-20 |
| 1467090720 | Susan Angela Colletti | Recreation Therapist | 113 Holland Ave, Albany, NY 12208-3410 | 2019-12-18 |
| 1659919918 | Mary Nell Schmitz | Recreation Therapist | 113 Holland Ave, Albany, NY 12208-3410 | 2019-12-18 |
| 1295376192 | Joy Aaron | Social Worker | 113 Holland Ave, Albany, NY 12208-3410 | 2019-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| 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 |
|---|---|---|---|---|
| 1295213502 | Stephanie A. Kostakis | Optometrist | 8 Southwoods Blvd Ste 8, Albany, NY 12211-2554 | 2018-07-30 |
| 1902333578 | Amanda Golchin | Optometrist | 26 Campus View Dr, Albany, NY 12211-1404 | 2017-05-15 |
| 1689068686 | Downtown Eyecare LLC. | Optometrist | 315 Lyon St S, Albany, OR 97321-2810 | 2015-03-27 |
| 1518360528 | Michael Aoyama | Optometrist | 603 Santa Fe Ave, Albany, CA 94706-1441 | 2014-10-03 |
| 1538577309 | Vision Care of Albany Inc. | Optometrist | 256 Burkesville Rd, Albany, KY 42602-1604 | 2014-07-24 |
| 1053724203 | Renee Gordon LLC | Optometrist | 2405 Ashford Dr, Albany, GA 31721-9246 | 2014-06-05 |
| 1053732628 | Trina Johnson | Optometrist | 526 W Broad Ave, Albany, GA 31701-2468 | 2013-12-26 |
| 1659650380 | Sampson Optical Corp. | Optometrist | 116 Wolf Rd, Albany, NY 12205-1184 | 2011-08-11 |
| 1265711543 | Denise Diana Saunders | Optometrist | 2825 Ledo Road, Vision Center Inside Wal-mart, Albany, GA 31707 | 2011-08-04 |
| 1487981197 | Kandi S. Moller, Od, LLC | Optometrist | 3031 Killdeer Ave Se, Albany, OR 97322-5325 | 2009-11-17 |
| Find all providers in ALBANY | ||||
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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.