Organization Active NPI

David J Baumgardner, OD PC

  • Optometrist
  • Littleton, CO
National Provider Identifier
1609061142
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1259 Issued in CO
Legal business name
DAVID J BAUMGARDNER, OD PC
Practice address
6638 W Ottawa Ave
Suite 235
Littleton, CO 80128-4562
Phone
(303) 979-6767
Fax
(303) 972-7422
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Dr. David J Baumgardner, OD
Title
Optometrist
Phone
(303) 979-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1259 CO Primary

Addresses

Primary practice location

6638 W Ottawa Ave
Suite 235
Littleton, CO 80128-4562

Mailing address

6638 W Ottawa Ave
Suite 235
Littleton, CO 80128-4562
Phone (303) 979-6767

Other names 1

  • Columbine Vision Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

6638 W Ottawa Ave
Ste 235
Littleton, CO 80128
Phone (303) 979-6767

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": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1609061142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6638 W OTTAWA AVE",
            "address_2": "SUITE 235",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284562",
            "telephone_number": "303-979-6767",
            "fax_number": "303-972-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6638 W OTTAWA AVE",
            "address_2": "SUITE 235",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284562",
            "telephone_number": "303-979-6767",
            "fax_number": "303-972-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J BAUMGARDNER, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "BAUMGARDNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "303-979-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbine Vision Clinic",
            "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 Nov 9, 2007; 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.