Individual provider Active NPI

Charlotte A Mattox, DO

  • Optician
  • Castle Rock, CO
National Provider Identifier
1619144011
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
3983 Issued in FL
Practice address
856 W Happy Canyon Rd
Ste 110
Castle Rock, CO 80108-3909
Phone
(303) 663-2034
Fax
(303) 663-3428
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 3983 FL Primary

Addresses

Primary practice location

856 W Happy Canyon Rd
Ste 110
Castle Rock, CO 80108-3909

Mailing address

856 W Happy Canyon Rd
Ste 110
Castle Rock, CO 80108-3909
Phone (303) 663-2034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3983FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Rock Eyewear, Inc Current Accepting new patients

Locations

856 W Happy Canyon Rd
Ste 110
Castle Rock, CO 80108
Phone (303) 663-2034

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1619144011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 W HAPPY CANYON RD",
            "address_2": "STE 110",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083909",
            "telephone_number": "303-663-2034",
            "fax_number": "303-663-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 W HAPPY CANYON RD",
            "address_2": "STE 110",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083909",
            "telephone_number": "303-663-2034",
            "fax_number": "303-663-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "CHARLOTTE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "3983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.