Active NPI
Avenue Vision, LLC
- Vision Therapy Optometrist
- Golden, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 2748
- Legal business name
- AVENUE VISION, LLC
- Practice address
- 1208 Washington Ave
Golden, CO 80401-1145 - Phone
- (303) 279-3713
- Fax
- (303) 273-5823
- NPI assigned
- Mar 5, 2014
- Last updated
- Mar 5, 2014
- 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
- Joseph F Borden, O.D.
- Title
- Optometrist/Owner
- Phone
- (303) 279-3713
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 2748 | CO | Primary |
Addresses
Primary practice location
1208 Washington Ave
Golden, CO 80401-1145
Mailing address
1208 Washington Ave
Golden, CO 80401-1145
Phone (303) 279-3713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Avenue Vision LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Vision Therapy Optometrist
- Golden, CO
- NPI 1861803439
Locations
1323 Washington Ave
Golden, CO 80401
Phone (303) 279-3713
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Golden, CO
- NPI 1427288992
-
- Optometrist
- Golden, CO
- NPI 1427287036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393977600000",
"number": "1134545882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 WASHINGTON AVE",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804011145",
"telephone_number": "303-279-3713",
"fax_number": "303-273-5823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 WASHINGTON AVE",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804011145",
"telephone_number": "303-279-3713",
"fax_number": "303-273-5823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVENUE VISION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-05",
"last_updated": "2014-03-05",
"status": "A",
"authorized_official_last_name": "BORDEN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "303-279-3713",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": "CO",
"license": "2748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.