MEDICARE: DR. STEVEN S. BURMEISTER O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4901003194	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	383628290	OTHER	MI	TAX ID E.C. ONE, INC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	30290	OTHER	MI	HEALTH PLAN OF MICHIGAN
4	900F111210	OTHER	MI	BCBS OF MICHIGAN
5	900F210170	OTHER	MI	BCBS OF MICHIGAN
6	201249427	OTHER	MI	TAX ID KENT VISION CENTER
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	204829649	OTHER	MI	TAX ID GOODWILL

General Provider Information

NPI Number	:	1962402883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN S. BURMEISTER O.D.

Provider Business Mailing Address
First Line	:	2984 HENRY ST
Second Line	:
City	:	NORTON SHORES
State	:	MI
Zip	:	49441-4014
Country	:	US
Telephone Number	:	231-737-7700
Fax Number	:	231-737-7700

Provider Business Practice Location Address
First Line	:	2984 HENRY ST
Second Line	:
City	:	NORTON SHORES
State	:	MI
Zip	:	49441-4014
Country	:	US
Telephone Number	:	231-737-7700
Fax Number	:	231-737-7700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	07/20/2021

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Directions to “ DR. STEVEN S. BURMEISTER O.D.” Practice Location

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