KIETH J. BURKART, O.D., A PROFESSIONAL CORPORATION
NPI 1548377666
Optometrist in Lake Arrowhead, CA

Q: What is Kieth J. Burkart, O.D., A Professional Corporation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since August 24, 2006

29099 HOSPITAL RD, SUITE 205, LAKE ARROWHEAD, CA 92352(909) 337-4310(909) 336-5937 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018, Feb 23, 2018 (3 updates tracked since 2018).

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About Kieth J. Burkart, O.d., A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIETH J. BURKART, O.D., A PROFESSIONAL CORPORATION (NPI 1548377666) is a healthcare organization registered as an optometrist in Lake Arrowhead, California and active in the NPI registry since August 2006. The organization lists Kieth J Burkart, President, as its authorized official.

NPPES Registry Identity

NPI1548377666

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameKIETH J. BURKART, O.D., A PROFESSIONAL CORPORATION

Location Address29099 HOSPITAL RD, SUITE 205Lake Arrowhead, CA 92352-2226

Mailing AddressPo Box 2226Lake Arrowhead, CA 92352-2226 · (909) 337-4310 · Fax (909) 336-5937

Phone(909) 337-4310

Fax(909) 336-5937

Organization SubpartNo

Authorized OfficialKieth J BurkartPresident · (909) 337-4310

Enumeration DateAugust 24, 2006

Last NPPES UpdateJune 11, 20193 updates tracked since enumeration

✔ NPI 1548377666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · COR1096

Definition

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.

29099 HOSPITAL RD, Lake Arrowhead, CA 92352

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Other Identifiers 1

MedicaidSD0056390CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kieth J. Burkart, O.d., A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kieth J. Burkart, O.D., A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kieth Burkart, O.D.

Optometry

NPI 1891706354

29099 HOSPITAL RD SUITE 205
Lake Arrowhead, CA 92352

(909) 337-4310

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kieth J. Burkart, O.D., A Professional Corporation's NPI number?

The NPI number for Kieth J. Burkart, O.D., A Professional Corporation is 1548377666. It was assigned to this organization in the NPPES registry on August 24, 2006.

Where is Kieth J. Burkart, O.D., A Professional Corporation located?

Kieth J. Burkart, O.D., A Professional Corporation is located at 29099 Hospital Rd Suite 205, Lake Arrowhead, CA 92352. The listed phone number is (909) 337-4310.

What is Kieth J. Burkart, O.D., A Professional Corporation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kieth J. Burkart, O.D., A Professional Corporation enrolled in Medicare?

Yes. Kieth J. Burkart, O.D., A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kieth J. Burkart, O.D., A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Kieth J. Burkart, O.D., A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kieth J. Burkart, O.D., A Professional Corporation was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.