Organization Active NPI

Peak Family Eye Care

  • Optometrist
  • Arvada, CO
National Provider Identifier
1023400066
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2050 Issued in CO
Legal business name
PEAK FAMILY EYE CARE
Practice address
12191 W 64TH Ave Ste 108
Arvada, CO 80004-4030
Phone
(303) 996-3550
Fax
(303) 957-5683
NPI assigned
Feb 27, 2015
Last updated
Feb 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Jordan, ODNPI 1891788832
Title
Owner
Phone
(303) 996-3550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2050 CO Primary

Addresses

Primary practice location

12191 W 64TH Ave Ste 108
Arvada, CO 80004-4030

Mailing address

12191 W 64TH Ave Ste 108
Arvada, CO 80004-4030
Phone (303) 996-3550

National Provider Directory

National Provider Directory

Locations

12191 W 64th Ave
Ste 108
Arvada, CO 80004
Phone (303) 996-3550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1023400066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12191 W 64TH AVE STE 108",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044030",
            "telephone_number": "303-996-3550",
            "fax_number": "303-957-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12191 W 64TH AVE STE 108",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044030",
            "telephone_number": "303-996-3550",
            "fax_number": "303-957-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK FAMILY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-996-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.