RUSSELL POLEY (NPI# 1245601509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245601509 |
| Entity Type | Individual |
| Full Name | RUSSELL POLEY |
| Practice Address |
7007 E 88th Ave L-50 Henderson CO 80640-8214 |
| Mailing Address |
8759 W Cornell Ave 8 Lakewood CO 80227-4879 |
| Practice Telephone | 7209406335 |
| Mailing Telephone | 7209406335 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
7007 E 88TH AVE L-50 |
| City | HENDERSON |
| State | CO |
| Zip Code | 80640-8214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740631274 | Eyemart | Technician/Technologist | 7007 E 88th Ave, L-50, Henderson, CO 80640-8214 | 2016-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083036982 | Jacqueline Ann Lynch | Midwife | 9450 Monaco St, Henderson, CO 80640 | 2014-01-10 |
| 1083899116 | Nidia A Ponce | Social Worker | 9525 E. 112th Drive, Henderson, CO 80640 | 2008-01-08 |
| 1275976193 | Summit Counseling Associates, Inc | Counselor | 10754 Belle Creek Blvd, Suite 101, Henderson, CO 80640-7507 | 2013-04-10 |
| 1942716600 | Jenna Willis | Social Worker | 10895 Dayton Way, Henderson, CO 80640-7549 | 2017-12-18 |
| 1306382312 | Alyssa Baker | Registered Nurse | 11261 E 114th Ave, Henderson, CO 80640-7658 | 2017-01-13 |
| 1881825453 | Denise Russell | Occupational Therapist | 10915 E 114th Ave, Henderson, CO 80640-7666 | 2009-07-30 |
| 1003274036 | Christopher Alexander St. John | Contractor | 11501 Jamaica St, Henderson, CO 80640-7688 | 2016-02-04 |
| 1477854552 | Tyler Jon James | Physical Therapist | 11866 Oak Hill Way Unit D, Henderson, CO 80640-7741 | 2010-11-05 |
| 1063633410 | Craig L Loving | Counselor | 10754 Belle Creek Blvd, Suite 101, Henderson, CO 80640-8968 | 2007-05-02 |
| 1821623463 | Brianne Carruthers | Pediatrics | 9282 E 108th Ave, Commerce City, CO 80640-8972 | 2020-03-04 |
| Find all providers in zip 80640 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497232730 | Tina Kosmach | Technician/Technologist | 7330 Eastgate Rd Ste 130, Henderson, NV 89011-4048 | 2018-07-19 |
| 1659624500 | Andrea I Krohn | Technician/Technologist | 1684 Sabatini Dr, Henderson, NV 89052-4109 | 2012-10-16 |
| 1225295934 | James Crimi | Technician/Technologist | 10575 S Eastern Ave, #150, Henderson, NV 89052-5017 | 2008-05-20 |
| 1306901202 | Wal-mart Stores East, Lp | Technician/Technologist | 1195 Barrett Blvd., Henderson, KY 42420 | 2006-12-22 |
| 1740631274 | Eyemart | Technician/Technologist | 7007 E 88th Ave, L-50, Henderson, CO 80640-8214 | 2016-06-27 |
| 1881770097 | Wal-mart Stores East, Lp | Technician/Technologist | 200 N Cooper Dr, Henderson, NC 27536-4016 | 2006-10-31 |
| 1427139880 | Wal-mart Stores Texas, Lp | Technician/Technologist | 2121 Us Highway 79 S, Henderson, TX 75654-4405 | 2006-10-18 |
| 1376623447 | Wal-mart Stores, Inc | Technician/Technologist | 540 Marks St, Henderson, NV 89014-6654 | 2006-10-16 |
| 1265528327 | Wal-mart Stores, Inc | Technician/Technologist | 300 E Lake Mead Pkwy, Henderson, NV 89015-5576 | 2006-10-05 |
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|---|---|---|---|---|
| 1730652660 | National Vision Inc | Technician/Technologist | 2406 S Parker Rd Ste C, Denver, CO 80231-4381 | 2019-01-03 |
| 1366914145 | Dennis Bell | Technician/Technologist | 102 W Mountain Ave, Fort Collins, CO 80524-2823 | 2018-12-18 |
| 1568976462 | National Vision, Inc | Technician/Technologist | 9609 A 2 East County Line Rd, Englewood, CO 80112 | 2017-11-30 |
| 1083134431 | Kids Spectacle Shop | Technician/Technologist | 2575 Pearl St Ste 1c, Boulder, CO 80302-3851 | 2017-06-26 |
| 1093257248 | B&s Inc. | Technician/Technologist | 2751 S Parker Rd, Suite 402, Aurora, CO 80014-2700 | 2016-11-04 |
| 1710436449 | International Optique Inc | Technician/Technologist | 7800 E Hampden Ave, Denver, CO 80231-4885 | 2016-09-22 |
| 1831647783 | National Vision, Inc. | Technician/Technologist | 1670 E Cheyenne Mountain Blvd, Ste N1 & M, Colorado Springs, CO 80906-4035 | 2016-09-20 |
| 1366892531 | Vision Coat Inc | Technician/Technologist | 7800 E Iliff Ave, Denver, CO 80231-7009 | 2016-06-17 |
| 1619341070 | Dan Tholen | Technician/Technologist | 1720 Julian St, Denver, CO 80204-1621 | 2015-11-23 |
| 1952772402 | National Vision, Inc. | Technician/Technologist | 2780 S Colorado Blvd, Ste 300, Denver, CO 80222-6629 | 2015-10-09 |
| Find all providers with the same taxonomy | ||||
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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.