MR. KELLEY R PATTON (NPI# 1184745689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184745689 |
| Entity Type | Individual |
| Full Name | MR. KELLEY R PATTON |
| Practice Address |
530 S Otis St Lakewood CO 80226-3446 |
| Practice Telephone | 3039366799 |
| Practice Fax Number | 3039365932 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916014 | Kelley Patton | Physical Therapist | 6475 Van Buren St, Suite 102, Daphne, AL 36526-7585 | 2005-07-20 |
| Street Address |
530 S OTIS ST |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80226-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588837041 | Mile High Mobile Optical, Inc | Eyewear Supplier (Equipment, not the service) | 530 S Otis St, Lakewood, CO 80226-3446 | 2008-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153771 | Kaeley Marie Moffatt | Behavior Technician | 265 Harlan St, Lakewood, CO 80226 | 2020-01-10 |
| 1871130849 | Karla C Lara | Behavior Technician | 265 South Horland, Lakewood, CO 80226 | 2019-12-09 |
| 1063057842 | Nancy Sue Boisture | Physical Therapist | 393 South Harlan Street, Suite 170, Lakewood, CO 80226 | 2019-11-15 |
| 1891338083 | The Rising Sun Senior Home At Belmar Inc. | Assisted Living Facility | 835 S. Flower St, Lakewood, CO 80226 | 2019-10-21 |
| 1689195562 | Amanda Marie Reider | Counselor | 1075 S Yukon St Lakewood #100, Lakewood, CO 80226 | 2017-06-30 |
| 1477092591 | Premere Rehab LLC | Occupational Therapist | 7825 W Alameda Ave, Lakewood, CO 80226 | 2017-02-22 |
| 1477901304 | Abigail L Wegert | Registered Nurse | 8015 W Alameda Ave Ste 260, Lakewood, CO 80226 | 2016-06-01 |
| 1235507724 | Justin Evans | Emergency Medicine | 476 Newland St, Lakewood, CO 80226 | 2015-09-14 |
| 1922475672 | Kingston Dialysis LLC | Clinic/Center | 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 | 2015-08-28 |
| 1457731937 | Terry Cheung | Nurse Practitioner | 7444 W Alaska Drive, Suite #200, Lakewood, CO 80226 | 2015-06-01 |
| Find all providers in zip 80226 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003315417 | Cvs Aoc Corporation | Technician/Technologist | 5505 Carson St # 8878, Lakewood, CA 90713-3004 | 2018-02-12 |
| 1437665783 | Cvs Aoc Corporation | Technician/Technologist | 4909 Paramount Blvd # 5014, Lakewood, CA 90712-2903 | 2017-12-22 |
| 1427588011 | National Vision, Inc. | Technician/Technologist | 4429 Candlewood St, Lakewood, CA 90712-1736 | 2017-06-15 |
| 1417309535 | Lawrence Klapper | Technician/Technologist | 398 Clifton Ave, Lakewood, NJ 08701-3269 | 2016-07-13 |
| 1508231044 | Tae H Bae | Technician/Technologist | 8718 S Tacoma Way Ste C, Lakewood, WA 98499-4597 | 2015-12-09 |
| 1306247614 | Jacob Klein | Technician/Technologist | 1703 Clifton Ave, Lakewood, NJ 08701-1202 | 2014-09-07 |
| 1003237835 | Jennifer H Truong | Technician/Technologist | 11421 Carson St Ste D, Lakewood, CA 90715-2500 | 2013-12-20 |
| 1649502956 | Jeffrey Abramowitz | Technician/Technologist | 222 River Ave, Lakewood, NJ 08701-4807 | 2010-02-11 |
| 1548401763 | Esther M Blumenkrantz | Technician/Technologist | 30 Gefen Dr, Lakewood, NJ 08701-3596 | 2009-03-18 |
| 1528253358 | Robert Charles Michnoff | Technician/Technologist | 6 West Spruce Street, Vision Eyewear, Lakewood, NJ 08701-5007 | 2007-09-14 |
| Find all providers in LAKEWOOD | ||||
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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.