Active NPI
Nancy Van, OD
- Optometrist
- Denver, CO
National Provider Identifier
1013146158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2731
- Practice address
- 5957 W 44TH Ave
Denver, CO 80212-7410 - Phone
- (303) 222-4459
- Fax
- (303) 477-5968
- NPI assigned
- Jul 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2731 | CO | Primary |
Addresses
Primary practice location
5957 W 44TH Ave
Denver, CO 80212-7410
Mailing address
2668 S Kline Cir
Lakewood, CO 80227-2752
Phone (303) 918-0314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2731 | CO | MD | Optometrist |
Networks
- CO HMO
- NM HMO C-SNP
- CO HMO D-SNP
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391904000000",
"number": "1013146158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2668 S KLINE CIR",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802272752",
"telephone_number": "303-918-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5957 W 44TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802127410",
"telephone_number": "303-222-4459",
"fax_number": "303-477-5968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-10",
"last_updated": "2014-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.