Active NPI
Larry D Sumner, OD, PC
- Health Service Clinic/Center
- Denver, CO
National Provider Identifier
1073841300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 1582
- Legal business name
- LARRY D SUMNER, OD, PC
- Doing business as
- Sumner Vision
- Practice address
- 3400 E Bayaud Ave
Suite 485
Denver, CO 80209-2926 - Phone
- (303) 321-1606
- Fax
- (303) 321-0920
- NPI assigned
- Nov 24, 2009
- 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. Larry Douglas Sumner, O.D.
- Title
- President/Optometrist
- Phone
- (303) 321-1606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 1582 | CO | Primary |
Addresses
Primary practice location
3400 E Bayaud Ave
Suite 485
Denver, CO 80209-2926
Mailing address
3400 E Bayaud Ave
Suite 485
Denver, CO 80209-2926
Phone (303) 321-1606
Other names 1
- Sumner Vision
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2041668 | Larry D Sumner OD, PC | Certificate of waiver | May 24, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259020800000",
"number": "1073841300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 E BAYAUD AVE",
"address_2": "SUITE 485",
"city": "DENVER",
"state": "CO",
"postal_code": "802092926",
"telephone_number": "303-321-1606",
"fax_number": "303-321-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 E BAYAUD AVE",
"address_2": "SUITE 485",
"city": "DENVER",
"state": "CO",
"postal_code": "802092926",
"telephone_number": "303-321-1606",
"fax_number": "303-321-0920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY D SUMNER, OD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-24",
"last_updated": "2009-11-24",
"status": "A",
"authorized_official_last_name": "SUMNER",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
"authorized_official_telephone_number": "303-321-1606",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CO",
"license": "1582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sumner Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.