DR. BURL R. BURGESS (O.D.) – Optometrist, NPI 1174735500

DR. BURL R. BURGESS (O.D.) is a healthcare provider. based in Orange city, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC944 (FL). The NPI Number for DR. BURL R. BURGESS (O.D.) is 1174735500

Main info

Male
Sole Proprietor
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. BURL R. BURGESS (O.D.)
NPI
1174735500
Phone
(386) 774-6000
Address
2576 S VOLUSIA AVE
Enumeration Date
6 May 2007
Last Update Date
8 November 2007

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
9043833400
Graduation Year
1970 (56 years ago)
PAC ID
2365408861
Group Practice PAC ID
0941359533
Professional Enrollment ID
I20041207000292
Address ID
FL322241204JA13534BLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for DR. BURL R. BURGESS (O.D.)

  • Orange City, Volusia County, Florida, 32763, United States

    ORANGE CITY, FL 327639120

    Phone: (386) 774-6000

    Fax: (386) 774-6971

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $358.

Total Amount is formed as General ($358) + Research ($0) + Ownership ($0) = $358.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Alcon Vision LLC ($139).

Total Amount

$358

General + Research + Ownership

Payments

3

Total payment records

General Amount

$358

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041207000292IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32763)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941359533View full group profile

Reviews

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Frequently asked questions

Is DR. BURL R. BURGESS (O.D.) listed with a National Provider Identifier?
Yes — DR. BURL R. BURGESS (O.D.) has NPI 1174735500 on file in the registry.
Is DR. BURL R. BURGESS (O.D.) shown as active in public data?
Registry records indicate DR. BURL R. BURGESS (O.D.) maintains an active NPI.
What clinical focus is listed for DR. BURL R. BURGESS (O.D.)?
At a glance, DR. BURL R. BURGESS (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. BURL R. BURGESS (O.D.) registered?
Use Orange City, Florida as the headline location for DR. BURL R. BURGESS (O.D.) here.
When was this NPI issued?
Enumeration for DR. BURL R. BURGESS (O.D.) is noted as May 6, 2007 where the registry provides it.

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