Active NPI
Emily Ann Revier, O.D.
- Optometrist
- Parker, CO
National Provider Identifier
1144429382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2530
- Practice address
- 11150 S Twenty Mile Rd
Parker, CO 80134-4952 - Phone
- (303) 841-7607
- Fax
- (303) 841-7717
- NPI assigned
- Jul 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2530 | CO | Primary |
Addresses
Primary practice location
11150 S Twenty Mile Rd
Parker, CO 80134-4952
Mailing address
12079 Blackwell Way
Parker, CO 80138
Phone (970) 556-3635
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2530 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144429382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12079 BLACKWELL WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "80138",
"telephone_number": "970-556-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11150 S TWENTY MILE RD",
"city": "PARKER",
"state": "CO",
"postal_code": "801344952",
"telephone_number": "303-841-7607",
"fax_number": "303-841-7717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVIER",
"first_name": "EMILY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.