Flatirons Eye Care Professionals, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CO 2054 Issued in CO

Legal business name

FLATIRONS EYE CARE PROFESSIONALS, INC.

Doing business as

Fredric Ian Eyewear

Practice address

2648 Broadway St
Boulder, CO 80304-3542

Phone

(303) 938-8646

Fax

(303) 938-4087

NPI assigned

Jun 16, 2009

Last updated

Oct 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer T Carr, O.D.NPI 1801867478

Title

Optometrist

Phone

(303) 938-8646

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fredric Ian Eyewear Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer T Carr, O.D.

  • Optometrist
  • Boulder, CO
  • NPI 1801867478
  Medicare reassignment NPD Authorized official
• Robert Scott Oberbreckling, OD

  • Optometrist
  • Flagstaff, AZ
  • NPI 1053404509
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1336376482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043542",
            "telephone_number": "303-938-8646",
            "fax_number": "303-938-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043542",
            "telephone_number": "303-938-8646",
            "fax_number": "303-938-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATIRONS EYE CARE PROFESSIONALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "303-938-8646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO 2054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1801867478",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fredric Ian Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanna K Flaten, MD
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• Flatirons Home Health
• Flatirons Ophthalmology (Insight Vision Group)
• Flatirons Ophthalmology (InSight Vision Group)
• Flatirons Optical Inc. (Ray Cooper Opticians)
• Flatirons Psychiatry

• Optometrist in Boulder, CO
• Providers in Boulder, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.