Mbo Vision Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MBO VISION INC

Doing business as

Mountain Breeze Optometry

Practice address

18148 W 92ND LN
Suite 400
Arvada, CO 80007-8164

Phone

(720) 722-5535

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

Stephanie Graziani, ODNPI 1134359979

Title

President

Phone

(720) 722-5535

Specialties & licenses 2

Addresses

Other names 1

• Mountain Breeze Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Claire Graziani, OD

  • Optometrist
  • Arvada, CO
  • NPI 1134359979
  Medicare reassignment Care Compare group NPD Authorized official
• Terri Ann Gieske, O. D.

  • Optometrist
  • Mesa, AZ
  • NPI 1962562983

  CO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1265049266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18148 W 92ND LN",
            "address_2": "SUITE 400",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800078164",
            "telephone_number": "720-722-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18148 W 92ND LN",
            "address_2": "SUITE 400",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800078164",
            "telephone_number": "720-722-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBO VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "GRAZIANI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-722-5535",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Breeze Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles P Mayer-Twomey, LCSW
• Ann Mayes
• Lisa Gail Maynard, MS
• James R Mayo, D.D.S.
• Marion Beth Mazzola, MD
• Diane McAndrews, R.N.
• Suzanna Bonard McAninley, DMD
• Karyl McBride, PH.D.
• Cindy McCallum, M.S.
• Jennifer McCallum, HEALTH COACH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.