Active NPI
Tim W. James OD PC
Doing business as ken-caryl vision center
- Optometrist
- Littleton, CO
National Provider Identifier
1588855035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CO 2219
- Legal business name
- TIM W. JAMES OD PC
- Doing business as
- ken-caryl vision center
- Practice address
- 6179 S Balsam Way
Suite 130
Littleton, CO 80123-3092 - Phone
- (303) 973-1948
- Fax
- (303) 904-1057
- NPI assigned
- Aug 8, 2007
- Last updated
- Jan 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tim W James, O.D., P.C.
- Title
- Optometrist/Owner
- Phone
- (303) 973-1948
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CO 2219 | CO | Primary |
Addresses
Primary practice location
6179 S Balsam Way
Suite 130
Littleton, CO 80123-3092
Mailing address
6179 S Balsam Way
Suite 130
Littleton, CO 80123-3092
Phone (303) 973-1948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588855035 | Other | CO | MEDICARE NPI |
Other names 1
- ken-caryl vision center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6179 S Balsam Way
Ste 13
Littleton, CO 80123
Phone (303) 973-1948
6179 S Balsam Way
Ste 130
Littleton, CO 80123
Phone (303) 948-2020
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Littleton, CO
- NPI 1528064532
-
- Optometrist
- Mill Hall, PA
- NPI 1477673515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231286400000",
"number": "1588855035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6179 S BALSAM WAY",
"address_2": "SUITE 130",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801233092",
"telephone_number": "303-973-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6179 S BALSAM WAY",
"address_2": "SUITE 130",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801233092",
"telephone_number": "303-973-1948",
"fax_number": "303-904-1057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIM W. JAMES OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-08",
"last_updated": "2009-01-07",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "TIM",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "303-973-1948",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D., P.C."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "CO 2219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NPI",
"identifier": "1588855035",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ken-caryl vision center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.