Eyecare Center of Ken Caryl, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3073 Issued in CO

Legal business name

EYECARE CENTER OF KEN CARYL, PC

Practice address

11550 W Meadows Dr
#F
Littleton, CO 80127-5862

Phone

(303) 870-1123

NPI assigned

Aug 11, 2015

Last updated

Aug 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Beth Seidman, O.D.NPI 1730596545

Title

President

Phone

(303) 870-1123

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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.

• Beth Seidman, O.D.

  • Optometrist
  • Littleton, CO
  • NPI 1730596545
  Medicare reassignment Care Compare group NPD Authorized official
• Catherine Goettge, OD

  • Optometrist
  • Littleton, CO
  • NPI 1992374292
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1609252899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5187 S FRASER WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152279",
            "telephone_number": "303-870-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 W MEADOWS DR",
            "address_2": "#F",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275862",
            "telephone_number": "303-870-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE CENTER OF KEN CARYL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "SEIDMAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-870-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Ewen, PMHNP
• Exempla Southwest Imaging Center, LLC (Clearview Digital Radiology)
• Exos Physical Therapy and Sports Medicine, LLC
• Exos Physical Therapy and Sports Medicine, LLC
• Eye Care Associates of Co LLC (Advanced Family Eyecare)
• Kimberly Wynne Eyerly
• Emily Ezra
• Isabella Ezzell
• Lisa Fadio
• Afik Faerman, PHD

• Optometrist in Littleton, CO
• Providers in Littleton, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.