NPIMap

Organization Active NPI

Denver Eye Care Specialists

  • Clinic/Center
  • Superior, CO
National Provider Identifier
1356977185
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DENVER EYE CARE SPECIALISTS
Practice address
400 Marshall Rd
Superior, CO 80027-8623
Phone
(678) 770-8649
NPI assigned
Mar 12, 2020
Last updated
Mar 12, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DENVER EYE CARE SPECIALISTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Elina Kolesnikov Davidoff
Title
OD
Phone
(678) 770-8649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

400 Marshall Rd
Superior, CO 80027-8623

Mailing address

3453 Ulster St
Denver, CO 80238-2784

National Provider Directory

National Provider Directory
Tax ID family
Denver Eye Care Specialists3 organizations share this tax ID, including this one
Part of
Denver Eye Care Specialists

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1356977185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 ULSTER ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MARSHALL RD",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278623",
            "telephone_number": "678-770-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER EYE CARE SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENVER EYE CARE SPECIALISTS LLC",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "DAVIDOFF",
        "authorized_official_first_name": "ELINA",
        "authorized_official_middle_name": "KOLESNIKOV",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "678-770-8649"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.