Provider Demographics
NPI:1700872249
Name:BUREMAN, JAMES E (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:BUREMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1531 E BRADFORD PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-6566
Mailing Address - Country:US
Mailing Address - Phone:417-887-3900
Mailing Address - Fax:417-887-3221
Practice Address - Street 1:1531 E BRADFORD PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-6566
Practice Address - Country:US
Practice Address - Phone:417-887-3900
Practice Address - Fax:417-887-3221
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOT02422152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1285767889OtherJOPLIN NPI
MO410046647OtherMEDICARE RAILROAD PIN
MO000015239OtherMEDICARE GROUP
MO2200060OtherUHC
MO9655977OtherCIGNA
MO108584OtherBCBS
MO000013492OtherMEDICARE GROUP
MO312052723Medicaid
MOCJ4613OtherMEDICARE RAILROAD GROUP
MO000013492OtherMEDICARE GROUP
MOCJ4613OtherMEDICARE RAILROAD GROUP
MO078295239Medicare PIN
MO000091308Medicare PIN