NPIMap

Organization Active NPI

Stoffregen Eyecare LLC

  • Optometrist
  • Westminster, CO
National Provider Identifier
1508690017
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STOFFREGEN EYECARE LLC
Doing business as
Stoffregen EyeCare, LLC
Practice address
200 W 136TH Ave
Westminster, CO 80234-1204
Phone
(720) 929-1776
NPI assigned
Aug 27, 2024
Organization subpart
Yes
Parent organization
STOFFREGEN EYECARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Nicholas Stoffregen, ODNPI 1457518508
Title
Optometrist
Phone
(816) 721-3684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

200 W 136TH Ave
Westminster, CO 80234-1204

Mailing address

14028 Garfield St
Thornton, CO 80602-8854
Phone (816) 721-3684

Other names 1

  • Stoffregen EyeCare, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stoffregen Eyecare LLC2 organizations share this tax ID, including this one
Part of
Stoffregen Eyecare LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1508690017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14028 GARFIELD ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806028854",
            "telephone_number": "816-721-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 136TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802341204",
            "telephone_number": "720-929-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOFFREGEN EYECARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STOFFREGEN EYECARE, LLC",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "STOFFREGEN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "816-721-3684",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoffregen EyeCare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.