Philip Wren, O.D., a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

12089T Issued in CA

Legal business name

PHILIP WREN, O.D., A PROFESSIONAL CORPORATION

Practice address

8501 W Bowles Ave
Ste 1B-204
Littleton, CO 80123-9502

Phone

(303) 979-1550

Fax

(303) 979-1850

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Philip Wren, O.D.

Title

President

Phone

(303) 979-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1083808562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 11TH ST",
            "address_2": "UNIT 202",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804010704",
            "telephone_number": "303-979-1550",
            "fax_number": "303-979-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 W BOWLES AVE",
            "address_2": "STE 1B-204",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801239502",
            "telephone_number": "303-979-1550",
            "fax_number": "303-979-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP WREN, O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-979-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12089T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER #",
            "identifier": "W18120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Littleton, CO
• Providers in Littleton, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.