Active NPI
Judith H Marrocco, OD
- Optometrist
- Broomfield, CO
National Provider Identifier
1447233242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3105
- Practice address
- 4 Garden Ctr
Ste 100
Broomfield, CO 80020-7026 - Phone
- (303) 469-1941
- Fax
- (303) 339-6251
- NPI assigned
- Nov 25, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3105 | CO | Primary |
Addresses
Primary practice location
4 Garden Ctr
Ste 100
Broomfield, CO 80020-7026
Mailing address
4 Garden Ctr
Ste 100
Broomfield, CO 80020-7026
Phone (303) 469-1941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3151 | MA | MD | Clinical Psychologist |
| 3105 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1447233242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 GARDEN CTR",
"address_2": "STE 100",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800207026",
"telephone_number": "303-469-1941",
"fax_number": "303-339-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 GARDEN CTR",
"address_2": "STE 100",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800207026",
"telephone_number": "303-469-1941",
"fax_number": "303-339-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARROCCO",
"first_name": "JUDITH",
"middle_name": "H",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-25",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "3105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.