Emily Moore, COT
Individual provider Active NPI Ophthalmic Technician/Technologist · Denver, CO
NPI 1649099649 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1649099649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmic Technician/Technologist 156FX1100X
- Practice address
- 660 Bannock St
Denver, CO 80204-4506 - Phone
- (303) 602-8550
- NPI assigned
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Technician/Technologist | 156FX1100X | Yes |
Addresses
Primary practice location
660 Bannock St
Denver, CO 80204-4506
Mailing address
660 Bannock St
Denver, CO 80204-4506
Phone (303) 709-6265
NPI Registry JSON
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1649099649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044506",
"telephone_number": "303-709-6265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044506",
"telephone_number": "303-602-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "EMILY",
"credential": "COT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1100X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
- Bella Beatrice Moore
- David Moore
- Denon Demaris Moore
- Eileen E Moore
- Ellen Moore
- Erin Torda Moore
- Ernest E Moore
- Evan Moore
- Garrett D Moore
- Geoffrey Kurt Moore
All providers in Denver, CO · Ophthalmic Technician/Technologist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.