Organization Active NPI

The Optical Gallery

  • Eyewear Supplier
  • Aurora, CO
National Provider Identifier
1437290442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
THE OPTICAL GALLERY
Practice address
4252 S Chambers Rd
Aurora, CO 80014-4130
Phone
(303) 690-1696
Fax
(303) 617-9163
NPI assigned
Feb 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Glen E Peabody
Title
Owner
Phone
(303) 690-1696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

4252 S Chambers Rd
Aurora, CO 80014-4130

Mailing address

4252 S Chambers Rd
Aurora, CO 80014-4130
Phone (303) 690-1696

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437290442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 S CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144130",
            "telephone_number": "303-690-1696",
            "fax_number": "303-617-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 S CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144130",
            "telephone_number": "303-690-1696",
            "fax_number": "303-617-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPTICAL GALLERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEABODY",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-690-1696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 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.