Organization Active NPI

Leeann Tyrrell OD LLC

  • Clinic/Center
  • Thornton, CO
National Provider Identifier
1639745748
Registry record updated May 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LEEANN TYRRELL OD LLC
Practice address
1001 E 120TH Ave
Thornton, CO 80233-5711
Phone
(303) 280-0971
Fax
(303) 280-6757
NPI assigned
May 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2021

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

Authorized official

Name
Leeann Tyrrell, ODNPI 1619010881
Title
Optometrist
Phone
(303) 818-2479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1001 E 120TH Ave
Thornton, CO 80233-5711

Mailing address

18451 W 58TH CT
Golden, CO 80403-2157
Phone (303) 818-2479

National Provider Directory

National Provider Directory

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": "1622246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622246400000",
    "number": "1639745748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18451 W 58TH CT",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804032157",
            "telephone_number": "303-818-2479",
            "fax_number": "303-280-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 120TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802335711",
            "telephone_number": "303-280-0971",
            "fax_number": "303-280-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEANN TYRRELL OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-29",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A",
        "authorized_official_last_name": "TYRRELL",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "303-818-2479",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 29, 2021; 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.