About Eyes Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2967 Issued in CO

Legal business name

ABOUT EYES OPTOMETRY LLC

Practice address

10360 Melody Dr
Northglenn, CO 80260-6046

Phone

(303) 452-5670

Fax

(303) 452-2006

NPI assigned

Feb 25, 2015

Last updated

Feb 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth HeadingtonNPI 1780025411

Title

OD

Phone

(520) 869-3422

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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.

• Kenneth Headington, O.D.

  • Pediatric Optometrist
  • Greenwood Village, CO
  • NPI 1780025411
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1467844696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10360 MELODY DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802606046",
            "telephone_number": "303-452-5670",
            "fax_number": "303-452-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10360 MELODY DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802606046",
            "telephone_number": "303-452-5670",
            "fax_number": "303-452-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUT EYES OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "HEADINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "520-869-3422",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN NUMBER",
            "identifier": "330803YXPP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "A16695",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.