NPIMap

Organization Active NPI

Front Range Optical

  • Eyewear Supplier
  • Longmont, CO
National Provider Identifier
1154487320
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
07-69569-0000 Issued in CO
Legal business name
FRONT RANGE OPTICAL
Practice address
1319 Vivian St
Longmont, CO 80501
Phone
(303) 772-3818
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Dr. Dale S Johnson, M.C.NPI 1235189143
Title
Owner
Phone
(303) 772-3818

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
Eyewear Supplier 332H00000X 07-69569-0000 CO Primary

Addresses

Primary practice location

1319 Vivian St
Longmont, CO 80501

Mailing address

1319 Vivian St
Longmont, CO 80501-3216
Phone (303) 772-3818

National Provider Directory

National Provider Directory

Locations

1319 Vivian St
Longmont, CO 80501
Phone (303) 772-3611

Practitioners & affiliated clinicians

Practitioners 4

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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1154487320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 VIVIAN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013216",
            "telephone_number": "303-772-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 VIVIAN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "303-772-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-772-3818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.C."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CO",
            "license": "07-69569-0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.