NPIMap

Organization Active NPI

Keelayboy LLC

  • Optometrist
  • Denver, CO
National Provider Identifier
1548759533
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT0003106 Issued in CO
Legal business name
KEELAYBOY LLC
Practice address
2031 S Federal Blvd
Denver, CO 80219-5429
Phone
(303) 934-0942
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Jeffrey Havel, ODNPI 1043274954
Title
Manager/Owner
Phone
(720) 507-6280

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 OPT0003106 CO Primary

Addresses

Primary practice location

2031 S Federal Blvd
Denver, CO 80219-5429

Mailing address

21912 E Canyon PL
Aurora, CO 80016-7215

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.

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1548759533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21912 E CANYON PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800167215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195429",
            "telephone_number": "303-934-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEELAYBOY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "HAVEL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "720-507-6280",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT0003106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.