Crockett Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

ESP1196 Issued in CO

Legal business name

CROCKETT VISION CENTER INC

Doing business as

Insight Eyecare Center

Practice address

7335 S Pierce St
Littleton, CO 80128-4571

Phone

(303) 932-1919

Fax

(720) 981-4250

NPI assigned

May 7, 2014

Last updated

May 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Kim Crockett, OD

Title

President

Phone

(303) 238-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Insight Eyecare Center Doing business as

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1669882080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 S PIERCE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284571",
            "telephone_number": "303-932-1919",
            "fax_number": "720-981-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 S PIERCE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284571",
            "telephone_number": "303-932-1919",
            "fax_number": "720-981-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROCKETT VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-238-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "ESP1196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04023859",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Littleton, CO
• Providers in Littleton, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.