Youth Vision of Denver, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

YOUTH VISION OF DENVER, LLC

Practice address

1400 Grove St
Denver, CO 80204-2229

Phone

(303) 825-2295

Fax

(719) 960-2654

NPI assigned

Sep 8, 2017

Organization subpart

No

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

Authorized official

Name

Amber Logan

Title

Authorized Official

Phone

(719) 200-5623

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Denver Youth Dental & Vision Doing business as
• Denver Youth Vision Doing business as

Locations

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1255859369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 GROVE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042229",
            "telephone_number": "720-400-8305",
            "fax_number": "303-825-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 GROVE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042229",
            "telephone_number": "303-825-2295",
            "fax_number": "719-960-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH VISION OF DENVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "719-200-5623"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC UNIVERSITY ISSUED NPI WHILE IN OPTOMETRY SCHOOL",
            "identifier": "1629303284",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Youth Dental & Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Denver Youth Dental & Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Denver Youth Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alla Yousif
• Mohamed Ahmed Yousif
• Youth Advocate Programs, Inc.
• Youth Empowerment Agency
• Youth Seen
• Sophie P Youtz, RN
• Teresa J Youtz, M.D.
• Ysonde Enterprises LLC
• Ysonde Enterprises LLC
• Deborah Anne Ytterberg

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.