NPIMap

Organization Active NPI

Bret W Harrison

Doing business as Bret W. Harrison O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1619274198
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1128 Issued in CO
Legal business name
BRET W HARRISON
Doing business as
Bret W. Harrison O.D.
Practice address
6140 Tutt Blvd
Colorado Springs, CO 80923-3575
Phone
(719) 268-1010
NPI assigned
Feb 18, 2011
Last updated
Mar 8, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
BRET W. HARRISON O.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Mr. Bret W Harrison, O.D.NPI 1104898220
Title
Doctor/Owner
Phone
(719) 268-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OPT1128 CO
Optometrist 152W00000X OPT1128 CO Primary

Addresses

Primary practice location

6140 Tutt Blvd
Colorado Springs, CO 80923-3575

Mailing address

6140 Tutt Blvd
Colorado Springs, CO 80923-3575
Phone (719) 268-1010

Other identifiers 1

IdentifierTypeStateIssuer
1104898220OtherCONPI

Other names 1

  • Bret W. Harrison O.D. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Assoc in Vision Care2 organizations share this tax ID, including this one
Part of
Assoc in Vision Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6140 Tutt Blvd
Colorado Springs, CO 80923
Phone (719) 268-1010

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1619274198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 TUTT BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233575",
            "telephone_number": "719-268-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 TUTT BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233575",
            "telephone_number": "719-268-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRET W HARRISON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRET W. HARRISON O.D.",
        "enumeration_date": "2011-02-18",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "719-268-1010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CO",
            "license": "OPT1128",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT1128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104898220",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bret W. Harrison O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.