Active NPI
Cristy L Witt, OD
- Optometrist
- Aurora, CO
National Provider Identifier
1073946398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.0003056
- Practice address
- 15159 E Colfax Ave Unit B
Aurora, CO 80011-5707 - Phone
- (303) 341-5437
- Fax
- (719) 542-0425
- NPI assigned
- Aug 11, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.0003056 | CO | Primary |
| Optometrist | 152W00000X | TA2363 | MD |
Addresses
Primary practice location
15159 E Colfax Ave Unit B
Aurora, CO 80011-5707
Mailing address
15159 E Colfax Ave Unit B
Aurora, CO 80011-5707
Phone (303) 341-5437
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA2363 | MD | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1073946398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15159 E COLFAX AVE UNIT B",
"city": "AURORA",
"state": "CO",
"postal_code": "800115707",
"telephone_number": "303-341-5437",
"fax_number": "719-542-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15159 E COLFAX AVE UNIT B",
"city": "AURORA",
"state": "CO",
"postal_code": "800115707",
"telephone_number": "303-341-5437",
"fax_number": "719-542-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITT",
"first_name": "CRISTY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-11",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0003056",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2363",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.