Individual provider Active NPI

Robert Eugene Tryggestad, O.D.

  • Corneal and Contact Management Optometrist
  • Aurora, CO
National Provider Identifier
1497891386
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPT1377 Issued in CO
Practice address
14200 E Alameda Ave
2013
Aurora, CO 80012-2511
Phone
(303) 363-1486
Fax
(303) 363-4122
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPT1377 CO Primary

Addresses

Primary practice location

14200 E Alameda Ave
2013
Aurora, CO 80012-2511

Mailing address

14200 E Alameda Ave
2013
Aurora, CO 80012-2511
Phone (303) 363-1486

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

LicenseStateTypeSpecialty
OPT1377COMDCorneal and Contact Management Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497891386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 E ALAMEDA AVE",
            "address_2": "2013",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122511",
            "telephone_number": "303-363-1486",
            "fax_number": "303-363-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 E ALAMEDA AVE",
            "address_2": "2013",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122511",
            "telephone_number": "303-363-1486",
            "fax_number": "303-363-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYGGESTAD",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "OPT1377",
            "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 Jul 8, 2007; 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.