Organization Active NPI

Repine Vision and Laser LLC

  • Eyewear Supplier
  • Littleton, CO
National Provider Identifier
1164416947
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
REPINE VISION AND LASER LLC
Doing business as
COUNTY LINE OPTICAL
Practice address
8381 Southpark LN
Littleton, CO 80120-4508
Phone
(303) 730-8024
Fax
(303) 730-6163
NPI assigned
Sep 7, 2005
Organization subpart
Yes
Parent organization
REPINE VISION AND LASER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Ms. Nora Pearson
Title
Optician
Phone
(303) 730-8024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

8381 Southpark LN
Littleton, CO 80120-4508

Mailing address

8381 Southpark LN
Littleton, CO 80120-4508
Phone (303) 730-8024

Other identifiers 2

IdentifierTypeStateIssuer
40376OtherBLUE CROSS CLUE SHIELD
55800068MedicaidCO

Other names 1

  • COUNTY LINE OPTICAL Doing business as

National Provider Directory

National Provider Directory
Part of
Repine Vision and Laser Professional LLC

Locations

8381 Southpark Ln
Littleton, CO 80120
Phone (303) 730-0404

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1164416947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8381 SOUTHPARK LN",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204508",
            "telephone_number": "303-730-8024",
            "fax_number": "303-730-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8381 SOUTHPARK LN",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204508",
            "telephone_number": "303-730-8024",
            "fax_number": "303-730-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPINE VISION AND LASER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REPINE VISION AND LASER LLC",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "303-730-8024",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CLUE SHIELD",
            "identifier": "40376",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55800068",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNTY LINE OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.