Active NPI
Stephanie Ivor-Smith, OD
- Optometrist
- Englewood, CO
National Provider Identifier
1174971733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.000000000
- Practice address
- 10520 El Diente CT
Englewood, CO 80112-2656 - Phone
- (720) 524-1001
- Fax
- (303) 756-0898
- NPI assigned
- May 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.000000000 | CO | Primary |
Addresses
Primary practice location
10520 El Diente CT
Englewood, CO 80112-2656
Mailing address
3900 E Mexico Ave
Ste 102
Denver, CO 80210-3940
Phone (720) 524-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.000000000 | CO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1174971733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 E MEXICO AVE",
"address_2": "STE 102",
"city": "DENVER",
"state": "CO",
"postal_code": "802103940",
"telephone_number": "720-524-1001",
"fax_number": "303-756-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10520 EL DIENTE CT",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801122656",
"telephone_number": "720-524-1001",
"fax_number": "303-756-0898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVOR-SMITH",
"first_name": "STEPHANIE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.000000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.