Russell Poley

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

7007 E 88TH Ave
L-50
Henderson, CO 80640-8214

Phone

(720) 940-6335

NPI assigned

Oct 13, 2015

Last updated

Oct 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyemart

  • Optician
  • Henderson, CO
  • NPI 1740631274
  NPD (past) Authorized official

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1245601509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8759 W CORNELL AVE",
            "address_2": "8",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802274879",
            "telephone_number": "720-940-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 E 88TH AVE",
            "address_2": "L-50",
            "city": "HENDERSON",
            "state": "CO",
            "postal_code": "806408214",
            "telephone_number": "720-940-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEY",
        "first_name": "RUSSELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Leigh Hosick, LPCC
• J. Troy-Ann Krebs, L.AC., CNC
• Katherine Lawhead, PTA
• Craig L Loving, LMFT, LAC
• Jacqueline Ann Lynch, CPM, RM
• Premier Medical Services LLC
• Denise Russell, OTR
• Christopher Alexander St. John
• Summit Counseling Associates, Inc
• Michelle Taylor, ATC

• Optician in Henderson, CO
• Providers in Henderson, CO by specialty
• Optician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.