Active NPI
Jordan Michael Townsend
- Ophthalmic Assistant
- Colorado Springs, CO
National Provider Identifier
1316423106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Assistant
- License
- 266891
- Practice address
- 5485 Wilson Rd
Colorado Springs, CO 80919-3523 - Phone
- (719) 534-3419
- NPI assigned
- Jul 14, 2018
- 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 |
|---|---|---|---|---|
| Ophthalmic Assistant | 156FX1101X | 266891 | CO | Primary |
Addresses
Primary practice location
5485 Wilson Rd
Colorado Springs, CO 80919-3523
Mailing address
5485 Wilson Rd
Colorado Springs, CO 80919-3523
Phone (719) 534-3419
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 |
|---|---|---|---|
| 266891 | CO | MD | Ophthalmic Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531526400000",
"number": "1316423106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5485 WILSON RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809193523",
"telephone_number": "719-534-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5485 WILSON RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809193523",
"telephone_number": "719-534-3419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNSEND",
"first_name": "JORDAN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-14",
"last_updated": "2018-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1101X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic Assistant",
"state": "CO",
"license": "266891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.