Active NPI
Harold Lamar Riegle Jr., O.D.
- Optometrist
- Cortez, CO
National Provider Identifier
1295893113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1040
- Practice address
- 1835 E Main St
Cortez, CO 81321-3037 - Phone
- (970) 565-9024
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1040 | CO | Primary |
Addresses
Primary practice location
1835 E Main St
Cortez, CO 81321-3037
Mailing address
543 E 30TH St
Durango, CO 81301-4329
Phone (970) 565-9024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1040 | CO | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295893113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 E 30TH ST",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014329",
"telephone_number": "970-565-9024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 E MAIN ST",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813213037",
"telephone_number": "970-565-9024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEGLE",
"first_name": "HAROLD",
"middle_name": "LAMAR",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "1040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cortez, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.