Active NPI
Clinton A. Aluise, A.B.O.C.
- Optician
- Grand Junction, CO
National Provider Identifier
1033294251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 05717
- Practice address
- 618 Walnut Ave
Grand Junction, CO 81501-7400 - Phone
- (970) 244-8665
- Fax
- (970) 244-6995
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 05717 | CO | Primary |
Addresses
Primary practice location
618 Walnut Ave
Grand Junction, CO 81501-7400
Mailing address
2442 Gunnison Ave
Grand Junction, CO 81501-7948
Phone (970) 244-8480
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 |
|---|---|---|---|
| 05717 | CO | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033294251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2442 GUNNISON AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815017948",
"telephone_number": "970-244-8480",
"fax_number": "970-244-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 WALNUT AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815017400",
"telephone_number": "970-244-8665",
"fax_number": "970-244-6995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALUISE",
"first_name": "CLINTON",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "A.B.O.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CO",
"license": "05717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.