Active NPI
Robert K Browder Inc
- Optometrist
- Pueblo, CO
National Provider Identifier
1003847559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 783
- Legal business name
- ROBERT K BROWDER INC
- Practice address
- 415 N Greenwood St
Ste F
Pueblo, CO 81003-3173 - Phone
- (719) 561-4365
- Fax
- (719) 542-2140
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Kenneth Browder, OD
- Title
- President
- Phone
- (719) 561-4365
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 783 | CO | Primary |
Addresses
Primary practice location
415 N Greenwood St
Ste F
Pueblo, CO 81003-3173
Mailing address
415 N Greenwood St
Ste F
Pueblo, CO 81003-3173
Phone (719) 561-4365
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79600549 | Medicaid | CO | |
| C801792 | Other | CO | INDIVIDUAL PIN |
Other names 1
- Dr Robert K Browder Optometrist
National Provider Directory
National Provider DirectoryLocations
415 N Greenwood St
Ste F
Pueblo, CO 81003
Phone (719) 561-4365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205107200000",
"number": "1003847559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N GREENWOOD ST",
"address_2": "STE F",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810033173",
"telephone_number": "719-561-4365",
"fax_number": "719-542-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N GREENWOOD ST",
"address_2": "STE F",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810033173",
"telephone_number": "719-561-4365",
"fax_number": "719-542-2140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT K BROWDER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2008-03-10",
"status": "A",
"authorized_official_last_name": "BROWDER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "KENNETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-561-4365",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CO",
"license": "783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79600549",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PIN",
"identifier": "C801792",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr Robert K Browder Optometrist",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.