NPIMap

Organization Active NPI

Creative Eyeworks LLC

Doing business as Creative Eyeworks

  • Eyewear Supplier
  • Sterling, CO
National Provider Identifier
1659115905
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
CREATIVE EYEWORKS LLC
Doing business as
Creative Eyeworks
Practice address
100 Broadway St Ste 26
Sterling, CO 80751-2734
Phone
(970) 522-5294
Fax
(970) 522-5294
NPI assigned
Jun 21, 2024
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Ms. Katie Lynn KonkenNPI 1194392175
Title
Owner/Optician
Phone
(970) 520-6422

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

100 Broadway St Ste 26
Sterling, CO 80751-2734

Mailing address

100 Broadway St Ste 26
Sterling, CO 80751-2734
Phone (970) 522-5294

Other names 1

  • CREATIVE EYEWORKS Doing business as

National Provider Directory

National Provider Directory

Locations

100 Broadway St
Ste 26
Sterling, CO 80751
Phone (970) 522-5294

Practitioners & affiliated clinicians

Practitioners 2

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": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1659115905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BROADWAY ST STE 26",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807512734",
            "telephone_number": "970-522-5294",
            "fax_number": "970-522-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROADWAY ST STE 26",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807512734",
            "telephone_number": "970-522-5294",
            "fax_number": "970-522-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE EYEWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "KONKEN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "970-520-6422",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREATIVE EYEWORKS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CREATIVE EYEWORKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.