Active NPI
Eye on Living, Inc.
- Low Vision Occupational Therapist
- Boulder, CO
National Provider Identifier
1326378209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Occupational Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Low Vision Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6310855 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Boulder, CO
- NPI 1366565715
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.