DR. JUSTIN DANIEL DEAL (NPI# 1134400054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134400054 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN DANIEL DEAL |
| Credential | O.D. |
| Practice Address |
1200 S Hover St Longmont CO 80501-7902 |
| Practice Telephone | 3038454215 |
| Practice Fax Number | 3036828181 |
| Mailing Telephone | 3038454215 |
| Mailing Fax Number | 3036828181 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2016-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2875 | CO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 54686270 | 05 |
| Street Address |
1200 S HOVER ST |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-7902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770137028 | Melissa Leaming | Pharmacist | 1200 S Hover St, Longmont, CO 80501-7902 | 2019-07-25 |
| 1447794409 | Redstone Eye Care | Optometrist | 1200 S Hover St, Longmont, CO 80501-7902 | 2016-12-10 |
| 1366801557 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1200 S Hover St, Longmont, CO 80501-7902 | 2016-02-16 |
| 1285092577 | Sam's West, Inc. | Technician/Technologist | 1200 S Hover St, Longmont, CO 80501-7902 | 2016-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710340211 | Rachel A Schreiber | Optometrist | 8900 Prairie Knoll Dr, Longmont, CO 80503 | 2016-04-01 |
| 1891179669 | Hafezzadeh Vision LLC | Optometrist | 1610 Pace St Unit 600, Longmont, CO 80504-2240 | 2015-07-11 |
| 1740588524 | Dr. Emily Baker & Associates, PC | Optometrist | 800 S Hover Rd, Longmont, CO 80501-7943 | 2011-03-03 |
| 1558673392 | Jennifer Everett | Optometrist | 800 S Hover St, #34, Longmont, CO 80501-7943 | 2010-07-09 |
| 1811125636 | Sarah Lyn Spieler | Optometrist | 1739 N Main St, Longmont, CO 80501-2035 | 2009-07-01 |
| 1295963320 | Neka Hafezzadeh | Optometrist | 1610 Pace St, Suite 600, Longmont, CO 80504-2238 | 2009-06-26 |
| 1730387374 | Rachel Amelia Potter | Optometrist | 2080 Main St, Longmont, CO 80501-1916 | 2007-07-05 |
| 1518088285 | Steven J Onorato, O.d. P.C. | Optometrist | 1250 S Hover St, Longmont, CO 80501-7939 | 2007-04-02 |
| 1417017302 | Kevin C Cottrell | Optometrist | 1325 Dry Creek Dr Ste 104, Longmont, CO 80503 | 2006-12-11 |
| 1992894489 | Olde Towne Eye Care LLC | Optometrist | 800 3rd Ave, Longmont, CO 80501-5928 | 2006-10-12 |
| Find all providers in LONGMONT | ||||
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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.