KIDS SPECTACLE SHOP (NPI# 1083134431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083134431 |
Entity Type | Organization |
Organization Name | KIDS SPECTACLE SHOP |
Practice Address |
2575 Pearl St Ste 1c Boulder CO 80302-3851 |
Mailing Address |
3248 W 11th Avenue Pl Broomfield CO 80020-1061 |
Practice Telephone | 3034426260 |
Mailing Telephone | 3168072720 |
Enumeration Date | 2017-06-26 |
Last Update Date | 2017-08-03 |
Authorized Official Name | DYLON STOREY (OWNER) |
Authorized Official Telephone | 3168072720 |
Is Organization Subpart | Y |
Parent Organization Name | ZIPJOBZ |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
Street Address |
2575 PEARL ST STE 1C |
City | BOULDER |
State | CO |
Zip Code | 80302-3851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336758184 | Children's Eye Physicians P.C. | Optometrist | 2575 Pearl St Ste 1c, Boulder, CO 80302-3851 | 2020-07-28 |
1831734656 | Coco Eye Surgery Boulder, Pllc | Ophthalmology | 2575 Pearl St Ste 1c, Boulder, CO 80302-3851 | 2019-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
Find all providers in zip 80302 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669006896 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1750 29th St Unit 1046, Boulder, CO 80301-1027 | 2020-02-26 |
1134371354 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1855 29th St, Ste #1e1156, Boulder, CO 80301-1065 | 2008-10-21 |
1619146339 | Jilson Corporation | Eyewear Supplier (Equipment, not the service) | 2800 Folsom St Ste D, Boulder, CO 80304-3768 | 2008-02-27 |
1447715214 | Beyer Laser Center | Eyewear Supplier (Equipment, not the service) | 1810 30th St Ste B, Boulder, CO 80301-1025 | 2019-02-06 |
1063930014 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1949 Pearl St, Boulder, CO 80302-4496 | 2017-08-30 |
1639696990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1949 Pearl St, Boulder, CO 80302-4496 | 2017-08-28 |
1801347893 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2800 Pearl St, Boulder, CO 80301-1123 | 2016-10-14 |
1104067461 | Flatirons Optical Inc. | Eyewear Supplier (Equipment, not the service) | 385 Broadway St, Boulder, CO 80305-3344 | 2009-03-17 |
1669536843 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 2795 Pearl St, Pearl Street Ctr Ste #100, Boulder, CO 80302-3825 | 2006-12-21 |
1477661221 | Aspen Eyewear | Eyewear Supplier (Equipment, not the service) | 2525 Arapahoe Ave, E-23, Boulder, CO 80302-6720 | 2006-08-29 |
Find all providers in BOULDER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.