Organization Active NPI

Bowles Avenue Eye Care, Inc

  • Corneal and Contact Management Optometrist
  • Littleton, CO
National Provider Identifier
1295810489
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1680 Issued in CO
Legal business name
BOWLES AVENUE EYE CARE, INC
Practice address
11852 Shaffer Dr
Building M
Littleton, CO 80127-3764
Phone
(303) 933-0353
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. Phillip L. Knapp, ODNPI 1942280185
Title
President
Phone
(303) 933-0353

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
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 1680 CO Primary

Addresses

Primary practice location

11852 Shaffer Dr
Building M
Littleton, CO 80127-3764

Mailing address

11852 Shaffer Dr
Building M
Littleton, CO 80127-3764
Phone (303) 933-0353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080215000131 CO Part B Supplier - Clinic/Group Practice 5799868659 Receives reassigned benefits from 1 practitioner
Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Locations

11852 Shaffer Dr
Ste M
Littleton, CO 80127
Phone (303) 933-0353

Practitioners & affiliated clinicians

Practitioners 1

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1295810489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11852 SHAFFER DR",
            "address_2": "BUILDING M",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273764",
            "telephone_number": "303-933-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11852 SHAFFER DR",
            "address_2": "BUILDING M",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273764",
            "telephone_number": "303-933-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLES AVENUE EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-933-0353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "1680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.