Organization Active NPI

Larry D Sumner, OD, PC

  • Health Service Clinic/Center
  • Denver, CO
National Provider Identifier
1073841300
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1582 Issued in CO
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

Updated by the provider on Nov 24, 2009

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2041668Larry D Sumner OD, PC3400 E Bayaud Ave Ste 485, Denver, CO 80209Certificate of waiverMay 24, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.