Bethany J. McKittrick, OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2425 Issued in CO

Legal business name

BETHANY J. MCKITTRICK, OD, PC

Practice address

1325 Denver Ave
Loveland, CO 80537-5120

Phone

(970) 663-3937

NPI assigned

Jun 5, 2009

Last updated

Jul 16, 2009By 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

Dr. Bethany McKittrick, OD

Title

Optometrist/Owner

Phone

(970) 663-3937

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1255567178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15065 IOLA ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806027453",
            "telephone_number": "970-663-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 DENVER AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375120",
            "telephone_number": "970-663-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY J. MCKITTRICK, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "MCKITTRICK",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "970-663-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Loveland, CO
• Providers in Loveland, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.