Organization Active NPI

Wink LLC

  • Optometrist
  • Boulder, CO
National Provider Identifier
1568014934
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WINK LLC
Practice address
3301 30TH St
Boulder, CO 80301-1401
Phone
(303) 443-4311
NPI assigned
Jul 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Dr. Liz Erley, OD
Title
Optometrist/Owner
Phone
(303) 443-4311

Specialties & licenses 1

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

Addresses

Primary practice location

3301 30TH St
Boulder, CO 80301-1401

Mailing address

PO Box 637
Lyons, CO 80540-0637
Phone (303) 995-2201

National Provider Directory

National Provider Directory

Locations

3301 30th St
Boulder, CO 80301
Phone (303) 443-4311

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1568014934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "LYONS",
            "state": "CO",
            "postal_code": "805400637",
            "telephone_number": "303-995-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 30TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011401",
            "telephone_number": "303-443-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "ERLEY",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "303-443-4311",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.