NPIMap

Organization Active NPI

Redstone Eye Care

  • Optometrist
  • Longmont, CO
National Provider Identifier
1447794409
Registry record updated Dec 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2875 Issued in CO
Legal business name
REDSTONE EYE CARE
Practice address
1200 S Hover St
Longmont, CO 80501-7902
Phone
(303) 845-4215
Fax
(303) 682-8181
NPI assigned
Dec 10, 2016
Last updated
Dec 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2016

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

Authorized official

Name
Dr. Justin Daniel Deal, O.D.NPI 1134400054
Title
Optometrist
Phone
(812) 881-8899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2875 CO Primary

Addresses

Primary practice location

1200 S Hover St
Longmont, CO 80501-7902

Mailing address

1200 S Hover St
Longmont, CO 80501-7902
Phone (303) 845-4215

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481328000000",
    "number": "1447794409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S HOVER ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017902",
            "telephone_number": "303-845-4215",
            "fax_number": "303-682-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S HOVER ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017902",
            "telephone_number": "303-845-4215",
            "fax_number": "303-682-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDSTONE EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-10",
        "last_updated": "2016-12-10",
        "status": "A",
        "authorized_official_last_name": "DEAL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "812-881-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.