NPIMap

Organization Active NPI

Simple Optical, Inc.

Doing business as Colorado Eye Gallery

  • Optometrist
  • Denver, CO
National Provider Identifier
1164017570
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SIMPLE OPTICAL, INC.
Doing business as
Colorado Eye Gallery
Practice address
2010 S University Blvd
Denver, CO 80210-4319
Phone
(303) 765-2020
Fax
(303) 698-2020
NPI assigned
Mar 8, 2021
Organization subpart
Yes
Parent organization
SIMPLE OPTICAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Philip Wren, ODNPI 1255404802
Title
President
Phone
(303) 765-2020

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

2010 S University Blvd
Denver, CO 80210-4319

Mailing address

2010 S University Blvd
Denver, CO 80210-4319
Phone (303) 765-2020

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": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1164017570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S UNIVERSITY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802104319",
            "telephone_number": "303-765-2020",
            "fax_number": "303-698-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S UNIVERSITY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802104319",
            "telephone_number": "303-765-2020",
            "fax_number": "303-698-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE OPTICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMPLE OPTICAL, INC.",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-765-2020",
        "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 Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.