ROCKY MOUNTAIN ANAPLASTOLOGY INC (NPI# 1679002356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679002356 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN ANAPLASTOLOGY INC |
| Other Organization Name | PROSTHETIC ILLUSIONS |
| Practice Address |
3405 S Yarrow St Unit C Lakewood CO 80227-4901 |
| Practice Telephone | (303) 973-8482 |
| Practice Fax Number | 3039738468 |
| Mailing Telephone | 3039738482 |
| Mailing Fax Number | 3039738468 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-07-17 |
| Authorized Official Name | BARBARA Y LILLO (PRESIDENT) |
| Authorized Official Telephone | 3039738482 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| N | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
Eye and Vision Services Providers | ||
| N | 224900000X | Mastectomy Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 08835233 | 05 |
| Other Name | Type Code |
|---|---|
| Prosthetic Illusions | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720499262 | Rocky Mountain Anaplastology Inc | Durable Medical Equipment & Medical Supplies | 16857 E Saguaro Blvd, Suite 101 C/o Ice, Fountain Hills, AZ 85268-6616 | 2014-05-19 |
| 1760453146 | Rocky Mountain Anaplastology Inc | Durable Medical Equipment & Medical Supplies | 3405 S Yarrow St, Ste C, Lakewood, CO 80227 | 2006-02-01 |
| Street Address |
3405 S YARROW ST UNIT C |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80227-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326541947 | Caroline Nicole Desjardins | Counselor | 2460 W 26th Ave Bldg C Ste 217, Denver, CO 80227 | 2018-03-09 |
| 1689024986 | Ethan Daniel Light | Audiologist | 10881 W. Asbury Ave., Suite 110, Lakewood, CO 80227 | 2016-06-16 |
| 1124476098 | Rachel Patterson | Nurse Practitioner | 3190 S Wadsworth Blvd Ste 250, Lakewood, CO 80227 | 2016-06-01 |
| 1326425901 | Lisa Myers | Social Worker | 2050 S Kipling St, Lakewood, CO 80227 | 2015-05-02 |
| 1497174619 | Pamela Ann Gunn | Registered Nurse | 10631 W. Vassar Place, Lakewood, CO 80227 | 2014-04-15 |
| 1336588912 | Ashlie Bell | Social Worker | 3333 S Wadsworth Blvd Ste 160, Lakewood, CO 80227 | 2013-06-18 |
| 1326336678 | Anna C Ferman | Registered Nurse | 10035 W Dartmouth Ave C207, Lakewood, CO 80227 | 2011-07-20 |
| 1124353701 | Katherine Ream Palomino | Nurse Anesthetist, Certified Registered | 3333 S. Wadsworth Blvd, #d-100, Lakewood, CO 80227 | 2009-10-15 |
| 1457502205 | National Institute for Change, P.C. | Community/Behavioral Health | 3225 S Wadsworth Blvd, Unit T, Lakewood, CO 80227 | 2008-10-09 |
| 1952565996 | Children's Dental Center | Dentist | 2323 South Wadsworth Blvd, Suite #104, Lakewood, CO 80227 | 2008-07-17 |
| Find all providers in zip 80227 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
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|---|---|---|---|---|
| 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.