KENNETH L BURKE (NPI# 1881608263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881608263 |
| Entity Type | Individual |
| Full Name | KENNETH L BURKE |
| Credential | OD |
| Practice Address |
175 Main St S Woodbury CT 06798-3405 |
| Mailing Address |
Po Box 384 Woodbury CT 06798-0384 |
| Practice Telephone | 2032633391 |
| Practice Fax Number | 2032633390 |
| Mailing Telephone | 2032633391 |
| Mailing Fax Number | 2032633390 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 000817 | CT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | HEALTHNET | 0V0992 | 01 |
| CT | BLOCK | 009287 | 01 |
| CT | AETNA | 83587 | 01 |
| CT | ANTHEM | 090000817CT01 | 01 |
| CT | CONNECTICARE | 658049 | 01 |
| CT | OXFORD | P382850 | 01 |
| CT | DAVIS VISION | 3582 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326316324 | Kenneth Allen Burke | Case Manager/Care Coordinator | 523 Princeton Ln, Cheyenne, WY 82009-3401 | 2011-12-05 |
| 1992893853 | Kenneth Burke | Internal Medicine | 111 Jim Moran Blvd, Deerfield Beach, FL 33442-1701 | 2006-10-10 |
| 1053813832 | Kenneth Burke | Counselor | 2222 Ponce De Leon Blvd Fl 3, Coral Gables, FL 33134-5039 | 2018-03-07 |
| 1164435871 | Kenneth Robert Burke | Pediatrics | One Wildwood Medical Center, Essex, CT 06426 | 2006-08-14 |
| 1710900048 | Kenneth H Burke | Social Worker | 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 | 2006-07-26 |
| 1548283716 | Kenneth Dean Burke | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2006-07-26 |
| Street Address |
175 MAIN ST S |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1659543031 | Kenneth L. Burke, O.d. | Eyewear Supplier (Equipment, not the service) | 175 Main St S, Woodbury, CT 06798-3448 | 2008-03-26 |
| 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 | 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 |
|---|---|---|---|---|
| 1083266126 | Heather Jackson | Optometrist | 2070 Eagle Creek Ln Ste 200, Woodbury, MN 55129-3217 | 2019-07-09 |
| 1770886285 | Sunny Nguyen | Optometrist | 318 Syosset Woodbury Rd, Woodbury, NY 11797-1215 | 2010-12-06 |
| 1487962478 | Marta Bakouris | Optometrist | 9965 Hudson Pl, Woodbury, MN 55125-9401 | 2010-09-23 |
| 1093948259 | Ryan Daniel Johnson | Optometrist | 8362 Tamarack Village, Rm 108, Woodbury, MN 55125-3392 | 2009-09-03 |
| 1790994382 | Filomena Agnes Rosano Fiore | Optometrist | 7933 Jericho Tpke, Woodbury, NY 11797-1210 | 2007-05-21 |
| 1568516953 | Horner Family Eyecare, Inc. | Optometrist | 8360 City Centre Drive, #140, Woodbury, MN 55125 | 2007-01-22 |
| 1184774614 | Marcus Donn Morben | Optometrist | 8362 Tamarack Vlg, #108, Woodbury, MN 55125-3392 | 2007-01-10 |
| 1356405153 | Dale Stein and Associates, O.d.,p.c. | Optometrist | 1750 Clements Bridge Rd, 2e5b Deptford Mall, Woodbury, NJ 08096-2010 | 2006-12-19 |
| 1134291487 | James Brekke | Optometrist | 7150 Valley Creek Plz, Suite 216, Woodbury, MN 55125-2271 | 2006-11-14 |
| 1083792097 | David Bertin Ness | Optometrist | 7150 Valley Creek Plz Ste 216, Woodbury, MN 55125-2271 | 2006-11-01 |
| 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.