Derik M Bugno

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Practice address

4852 W 14TH Ave
Denver, CO 80204-1171

Phone

(303) 955-0124

NPI assigned

Dec 30, 2020

Last updated

Mar 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Visio Square LLC

  • Point of Service
  • Denver, CO
  • NPI 1508665647
  NPD Authorized official

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1447847942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4852 W 14TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041171",
            "telephone_number": "303-955-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4852 W 14TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041171",
            "telephone_number": "303-955-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGNO",
        "first_name": "DERIK",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.visiosquare.com",
            "affiliation": "N",
            "endpointDescription": "Contact Lens Ordering Portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Ordering and Processing Payments",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Encrypted DB",
            "address_1": "969 S Kipling Pkwy",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802263946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Anne Buffington
• Michael Warren Buffum, CAC
• Sierra Buford
• Tyler James Bugas
• Nicola Bugelli, MD
• Camelia N Bui, M.D.
• Chau Bui, PHARMD
• Claudia Phuong Bui, OTR/L
• Conrad C Bui, DC
• Cuong Bui, OD

• Preferred Provider Organization in Denver, CO
• Providers in Denver, CO by specialty
• Preferred Provider Organization in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.