L.L. Douglass, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0003268 Issued in CO

Legal business name

L.L. DOUGLASS, OD, PLLC

Doing business as

Douglass Vision Care

Practice address

9601 Grant St
Thornton, CO 80229-2155

Phone

(303) 453-4972

NPI assigned

Dec 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lola Douglass, OD

Title

Optometrist

Phone

(806) 662-6812

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Douglass Vision Care Doing business as

Locations

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1386188076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 GRANT ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292155",
            "telephone_number": "303-453-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 GRANT ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292155",
            "telephone_number": "303-453-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.L. DOUGLASS, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "DOUGLASS",
        "authorized_official_first_name": "LOLA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "806-662-6812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354129401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglass Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Kurian, BS PHARMACY
• Bindu Kurien, RPH
• Monique Kurtz
• Hannah Kurz, DPT
• Lana Kwong, DDS
• Tess La Fera
• Patricia Ann La Plante, MA, LPC
• Serene Labadi
• Erika Labaff
• Jennifer Lacoe, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.