Organization Active NPI

Rocky Mountain Eye Institute, LLC

  • Optometrist
  • Boulder, CO
National Provider Identifier
1245783240
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0001465 Issued in CO
Legal business name
ROCKY MOUNTAIN EYE INSTITUTE, LLC
Practice address
1645 28TH St
Boulder, CO 80301-1001
Phone
(303) 443-4545
NPI assigned
Jul 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Dr. Brooks Alldredge, OD
Title
Co-Owner
Phone
(505) 263-0027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT.0001465 CO Primary

Addresses

Primary practice location

1645 28TH St
Boulder, CO 80301-1001

Mailing address

1645 28TH St
Boulder, CO 80301-1001

National Provider Directory

National Provider Directory

Locations

1645 28th St
Boulder, CO 80301
Phone (303) 443-4545

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1245783240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 28TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 28TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011001",
            "telephone_number": "303-443-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN EYE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "ALLDREDGE",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "505-263-0027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0001465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.