Organization Active NPI

One Hour Optical Medical Services, PC

Doing business as Eyecare Specialties of Colorado

  • Optometrist
  • Thornton, CO
National Provider Identifier
1629390612
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ONE HOUR OPTICAL MEDICAL SERVICES, PC
Doing business as
Eyecare Specialties of Colorado
Practice address
3867 E 120TH Ave.
Thornton, CO 80233-1660
Phone
(303) 450-0200
Fax
(303) 450-0895
NPI assigned
Feb 18, 2010
Last updated
Nov 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Cathy Lee Short
Title
Credentialing Manager
Phone
(618) 462-9818

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1746 CO
Optometrist 152W00000X Primary

Addresses

Primary practice location

3867 E 120TH Ave.
Thornton, CO 80233-1660

Mailing address

1685 S Colorado Blvd
Unit O
Denver, CO 80222-4000
Phone (303) 757-6747

Other identifiers 3

IdentifierTypeStateIssuer
06177867MedicaidCO
5668380002OtherCOMEDICARE DME
S4503OtherCOMEDICARE PTAN

Other names 1

  • Eyecare Specialties of Colorado Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1629390612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 S COLORADO BLVD",
            "address_2": "UNIT O",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224000",
            "telephone_number": "303-757-6747",
            "fax_number": "303-757-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3867 E 120TH AVE.",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331660",
            "telephone_number": "303-450-0200",
            "fax_number": "303-450-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HOUR OPTICAL MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "618-462-9818"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1746",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06177867",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "5668380002",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "S4503",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Specialties of Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.