Organization Active NPI

Lodo Optical

  • Eyewear Supplier
  • Denver, CO
National Provider Identifier
1174655997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
07-70541-0000 Issued in CO
Legal business name
LODO OPTICAL
Practice address
1435 Wazee St Ste 101
Denver, CO 80202-1491
Phone
(303) 299-9473
Fax
(303) 299-9472
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald Eric Wise, M.D.
Title
Owner
Phone
(303) 299-9473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 07-70541-0000 CO Primary

Addresses

Primary practice location

1435 Wazee St Ste 101
Denver, CO 80202-1491

Mailing address

1435 Wazee St Ste 101
Denver, CO 80202-1491
Phone (303) 299-9473

Other identifiers 1

IdentifierTypeStateIssuer
CO4853OtherCOEYEMED

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174655997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 WAZEE ST STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021491",
            "telephone_number": "303-299-9473",
            "fax_number": "303-299-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 WAZEE ST STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021491",
            "telephone_number": "303-299-9473",
            "fax_number": "303-299-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODO OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-299-9473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CO",
            "license": "07-70541-0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "CO4853",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.