Active NPI
Larry Douglas Sumner, O.D.
- Corneal and Contact Management Optometrist
- Denver, CO
National Provider Identifier
1245255223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 1582
- Practice address
- 3400 E Bayaud Ave
Suite 485
Denver, CO 80209-2926 - Phone
- (303) 321-1606
- Fax
- (303) 321-0920
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 1582 | CO | Primary |
Addresses
Primary practice location
3400 E Bayaud Ave
Suite 485
Denver, CO 80209-2926
Mailing address
3400 E Bayaud Ave
Suite 485
Denver, CO 80209-2926
Phone (303) 321-1606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1685 S Co Blvd
Unit O
Denver, CO 80222-4011
Phone (303) 757-6747
3400 E Bayaud Ave
Suite 485
Denver, CO 80209-3000
Phone (303) 321-1606
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1582 | CO | MD | Acupuncturist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Denver, CO
- NPI 1770648297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1245255223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 E BAYAUD AVE",
"address_2": "SUITE 485",
"city": "DENVER",
"state": "CO",
"postal_code": "802092926",
"telephone_number": "303-321-1606",
"fax_number": "303-321-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 E BAYAUD AVE",
"address_2": "SUITE 485",
"city": "DENVER",
"state": "CO",
"postal_code": "802092926",
"telephone_number": "303-321-1606",
"fax_number": "303-321-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "LARRY",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CO",
"license": "1582",
"primary": true
}
],
"identifiers": [],
"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 Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.