Provider Demographics
NPI:1962402883
Name:BURMEISTER, STEVEN S (OD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:S
Last Name:BURMEISTER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2984 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49441-4014
Mailing Address - Country:US
Mailing Address - Phone:231-737-7700
Mailing Address - Fax:231-737-7700
Practice Address - Street 1:2984 HENRY ST
Practice Address - Street 2:
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49441-4014
Practice Address - Country:US
Practice Address - Phone:231-737-7700
Practice Address - Fax:231-737-7700
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003194152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI383628290OtherTAX ID E.C. ONE, INC
MI(94)4634037Medicaid
MI30290OtherHEALTH PLAN OF MICHIGAN
MI900F111210OtherBCBS OF MICHIGAN
MI900F210170OtherBCBS OF MICHIGAN
MI201249427OtherTAX ID KENT VISION CENTER
MI5187851Medicaid
MI204829649OtherTAX ID GOODWILL
MI5375940001Medicare NSC
MI0P32620Medicare PIN
MI30290OtherHEALTH PLAN OF MICHIGAN
MIP00151229Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MIP13290006Medicare ID - Type Unspecified
MI5187851Medicaid
MI201249427OtherTAX ID KENT VISION CENTER
MIN96840004Medicare ID - Type Unspecified
MI383628290OtherTAX ID E.C. ONE, INC