Organization Active NPI

Robert K Browder Inc

  • Optometrist
  • Pueblo, CO
National Provider Identifier
1003847559
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
783 Issued in CO
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

Updated by the provider on Mar 10, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
79600549MedicaidCO
C801792OtherCOINDIVIDUAL PIN

Other names 1

  • Dr Robert K Browder Optometrist Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.