Organization Active NPI

Lisa Badowski OD Ms Faao PC

  • Optometrist
  • Aurora, CO
National Provider Identifier
1356677975
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CO2407 Issued in CO
Legal business name
LISA BADOWSKI OD MS FAAO PC
Practice address
14200 E Alameda Ave
JC Penney Optical
Aurora, CO 80012-2511
Phone
(303) 344-1272
NPI assigned
Nov 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Dr. Lisa Badowski, OD, MS, FAAO
Title
President
Phone
(614) 668-7418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CO2407 CO Primary

Addresses

Primary practice location

14200 E Alameda Ave
JC Penney Optical
Aurora, CO 80012-2511

Mailing address

2760 Overlook Dr
Broomfield, CO 80020-6750

Other names 1

  • Healthy Vision Eyecare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1356677975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 OVERLOOK DR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800206750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 E ALAMEDA AVE",
            "address_2": "JC PENNEY OPTICAL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122511",
            "telephone_number": "303-344-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA BADOWSKI OD MS FAAO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "BADOWSKI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-668-7418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, MS, FAAO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO2407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Vision Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.