Mountain View Optical LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

05483680000 Issued in CO

Legal business name

MOUNTAIN VIEW OPTICAL LLC

Practice address

4350 Wadsworth Blvd
Ste 320
Wheat Ridge, CO 80033-4641

Phone

(303) 467-3025

Fax

(303) 423-5818

NPI assigned

Aug 10, 2005

Last updated

Feb 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Gerald McClain, OPTICIAN

Title

Manager

Phone

(303) 467-3025

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1235130303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 WADSWORTH BLVD",
            "address_2": "STE 320",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334634",
            "telephone_number": "303-467-3025",
            "fax_number": "303-423-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 WADSWORTH BLVD",
            "address_2": "STE 320",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334641",
            "telephone_number": "303-467-3025",
            "fax_number": "303-423-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-467-3025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CO",
            "license": "05483680000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Eyewear Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.