NPIMap

Organization Active NPI

Denver Eye Center Optical

  • Eyewear Supplier
  • Lakewood, CO
National Provider Identifier
1285643023
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
227111000000 Issued in CO
Legal business name
DENVER EYE CENTER OPTICAL
Practice address
13772 Denver West Parkway
Lakewood, CO 80401-3139
Phone
(303) 279-2600
Fax
(303) 273-8790
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Dr. Jan Stahl, MDNPI 1841258704
Title
President-Owner
Phone
(303) 279-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 227111000000 CO Primary

Addresses

Primary practice location

13772 Denver West Parkway
Lakewood, CO 80401-3139

Mailing address

13772 Denver West Parkway
Lakewood, CO 80401-3139
Phone (303) 279-2600

Other identifiers 1

IdentifierTypeStateIssuer
04510087MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1285643023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PARKWAY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013139",
            "telephone_number": "303-279-2600",
            "fax_number": "303-273-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PARKWAY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013139",
            "telephone_number": "303-279-2600",
            "fax_number": "303-273-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER EYE CENTER OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "303-279-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CO",
            "license": "227111000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04510087",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.