DR. BURTON E WORRELL O.D. NPI 1083762512

NPI Information

  • NPI: 1083762512
  • Provider Name: DR. BURTON E WORRELL, O.D.
  • Classification: Optometrist - 152WS0006X
  • Specialization: Sports Vision
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 545 MERIDIAN AVE STE G
    SAN JOSE, CA
    ZIP 95126
  • Phone: (408) 947-2020

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NPI Details

DR. Burton E Worrell, O.D. is a sports vision optometrist in San Jose, CA with 58 years of experience. The provider is an optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport. DR. Burton E Worrell, O.D. NPI is 1083762512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

545 MERIDIAN AVE STE G
SAN JOSE, CA
ZIP 95126-451
Phone: (408) 947-2020

The NPI 1083762512 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Imaging of optic nerve (HCPCS:92133)

The enumeration date for this NPI number is 1/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WS0006XOptometristSports Vision4977TCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SD0049770MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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