NPIMap

Organization Active NPI

Simple Optical, Inc.

  • Optometrist
  • Broomfield, CO
National Provider Identifier
1144805334
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SIMPLE OPTICAL, INC.
Practice address
520 Zang St Ste I
Broomfield, CO 80021-8235
Phone
(720) 887-6066
Fax
(720) 887-5866
NPI assigned
Mar 10, 2021
Organization subpart
Yes
Parent organization
SIMPLE OPTICAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Dr. Philip Wren, ODNPI 1255404802
Title
President
Phone
(720) 887-6066

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

520 Zang St Ste I
Broomfield, CO 80021-8235

Mailing address

520 Zang St Ste I
Broomfield, CO 80021-8235
Phone (720) 887-6066

Other names 1

  • Colorado Eye Gallery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Simple Optical Inc6 organizations share this tax ID, including this one
Part of
Simple Optical Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1144805334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 ZANG ST STE I",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218235",
            "telephone_number": "720-887-6066",
            "fax_number": "720-887-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ZANG ST STE I",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218235",
            "telephone_number": "720-887-6066",
            "fax_number": "720-887-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE OPTICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMPLE OPTICAL, INC",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-887-6066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Eye Gallery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.