Ponderosa Vision Clinic PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

35337RTSL Issued in CO

Legal business name

PONDEROSA VISION CLINIC PC

Practice address

14991 E Hampden Ave
Suite 110
Aurora, CO 80014-3980

Phone

(303) 693-9561

Fax

(303) 693-0713

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Allen Bryant, OD

Title

Owner

Phone

(303) 693-9561

Specialties & licenses 1

Addresses

Practitioners 2

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

• Jerry Michael Bell, O. D.

  • Corneal and Contact Management Optometrist
  • Parker, CO
  • NPI 1568452563
  NPD (past)
• Sarah Anne Bell, O.D.

  • Corneal and Contact Management Optometrist
  • Parker, CO
  • NPI 1548250566
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1275632192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14991 E HAMPDEN AVE",
            "address_2": "SUITE 110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143980",
            "telephone_number": "303-693-9561",
            "fax_number": "303-693-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14991 E HAMPDEN AVE",
            "address_2": "SUITE 110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143980",
            "telephone_number": "303-693-9561",
            "fax_number": "303-693-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDEROSA VISION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-693-9561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "35337RTSL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz Elena Ponce
• Cody Matose Broom Pond
• Linwood Page Pond, O.D.
• Twyneka Ponder
• Ponderosa Family Physicians PC
• Gabrielle Ponio, LPCC
• Shelby Pons, PHARMD
• Keith De'Mel Pontiflet, CAC III
• Jenny Pool Radway
• Jessica Pool

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.