Organization Active NPI

Eye on Living, Inc.

  • Low Vision Occupational Therapist
  • Boulder, CO
National Provider Identifier
1326378209
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational TherapistTaxonomy code 225XL0004X
Legal business name
EYE ON LIVING, INC.
Practice address
610 S 40TH St
Boulder, CO 80305-5905
Phone
(303) 543-0669
Fax
(303) 494-0530
NPI assigned
Dec 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Susan Mary Zekert, OTR, CLVT
Title
Ceo, Clinical Manager
Phone
(303) 543-0669

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Low Vision Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XL0004X Primary

Addresses

Primary practice location

610 S 40TH St
Boulder, CO 80305-5905

Mailing address

PO Box 3251
Boulder, CO 80307-3251
Phone (303) 543-0669

Other identifiers 1

IdentifierTypeStateIssuer
6310855MedicaidCO

National Provider Directory

National Provider Directory

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": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1326378209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3251",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803073251",
            "telephone_number": "303-543-0669",
            "fax_number": "303-494-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S 40TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055905",
            "telephone_number": "303-543-0669",
            "fax_number": "303-494-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ON LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "ZEKERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CEO, CLINICAL MANAGER",
        "authorized_official_telephone_number": "303-543-0669",
        "authorized_official_credential": "OTR, CLVT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6310855",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.