Kids Spectacle Shop

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

KIDS SPECTACLE SHOP

Practice address

2575 Pearl St Ste 1C
Boulder, CO 80302-3851

Phone

(303) 442-6260

NPI assigned

Jun 26, 2017

Organization subpart

Yes

Parent organization

ZIPJOBZAs reported in NPPES

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

Authorized official

Name

Dylon Storey

Title

Owner

Phone

(316) 807-2720

Specialties & licenses 2

Addresses

Part of

Kids Spectacle Shop

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1083134431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 W 11TH AVENUE PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201061",
            "telephone_number": "316-807-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 PEARL ST STE 1C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803023851",
            "telephone_number": "303-442-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS SPECTACLE SHOP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZIPJOBZ",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "STOREY",
        "authorized_official_first_name": "DYLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-807-2720"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanne Kianicka, DR.
• Kid Crew, LLC
• Matthew Charles Kidd Jr., D.O.
• Alyssa Kidrin
• Kids Can
• Chelsea Kilimnik, PH.D.
• Eve Kilmer, PHD
• Sun Mi Kim, LPCC
• Yewon Kim, PHARMD
• Lynn Janet Kimball, P.N.P.

• Eyewear Supplier in Boulder, CO
• Providers in Boulder, CO by specialty
• Eyewear Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.