Organization Active NPI

Tim W. James OD PC

Doing business as ken-caryl vision center

  • Optometrist
  • Littleton, CO
National Provider Identifier
1588855035
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CO 2219 Issued in CO
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1588855035OtherCOMEDICARE NPI

Other names 1

  • ken-caryl vision center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331001578 CO Part B Supplier - Clinic/Group Practice 9335131259 Receives reassigned benefits from 1 practitioner
Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.