Ponderosa Vision Clinic, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

960 Issued in CO

Legal business name

PONDEROSA VISION CLINIC, PC

Doing business as

Lowry EyeCare Specialists

Practice address

8101 E Lowry Blvd
#110
Denver, CO 80230-7196

Phone

(303) 671-0000

Fax

(303) 671-2879

NPI assigned

Jan 29, 2007

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, O.D.NPI 1801886635

Title

Owner

Phone

(303) 693-9561

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lowry EyeCare Specialists 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.

• John Allen Bryant, O. D.

  • Corneal and Contact Management Optometrist
  • Aurora, CO
  • NPI 1801886635
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295871069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14991 E HAMPDEN AVE",
            "address_2": "#110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143983",
            "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": "8101 E LOWRY BLVD",
            "address_2": "#110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307196",
            "telephone_number": "303-671-0000",
            "fax_number": "303-671-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDEROSA VISION CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "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": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08009607",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowry EyeCare Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Lana Pond, PSYD
• Jessica Mary Ponder, FNP-BC
• Ponderosa Care Communities a, LLC
• Ponderosa Care Communities a, LLC
• Ponderosa Natural Medicine LLC
• Yekaterina Ponomareva, RN
• Sasha Michelle Pontejos
• Madeleine Pontius
• Paula Marica Pook, M.D.
• Kathleen Mary Pool, PNP

• 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 Aug 22, 2020; 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.