Optometrist Placement PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2635 Issued in CO

Legal business name

OPTOMETRIST PLACEMENT PC

Doing business as

Dr. Spex Vision Care

Practice address

6460 E Yale Ave
Ste. A20
Denver, CO 80222-7156

Phone

(720) 316-7739

Fax

(720) 259-9360

NPI assigned

Sep 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. John Joseph Bardash, O.D.NPI 1699951004

Title

Optometrist/President

Phone

(720) 316-7739

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Spex Vision Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Joseph Bardash, O.D.

  • Optometrist
  • Denver, CO
  • NPI 1699951004
  Authorized official Same address or phone

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1285984666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 E YALE AVE",
            "address_2": "STE. A20",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227156",
            "telephone_number": "720-316-7739",
            "fax_number": "720-259-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6460 E YALE AVE",
            "address_2": "STE. A20",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227156",
            "telephone_number": "720-316-7739",
            "fax_number": "720-259-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIST PLACEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "BARDASH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "720-316-7739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "COA109314",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Spex Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Mar 13, 2013; 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.