Individual provider Active NPI

Kurt Kuskie, OD

  • Optometrist
  • Broomfield, CO
National Provider Identifier
1679501530
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2348 Issued in CO
Practice address
4 Garden Ctr
Broomfield, CO 80020-7026
Phone
(303) 469-1941
Fax
(303) 469-6634
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2348 CO Primary

Addresses

Primary practice location

4 Garden Ctr
Broomfield, CO 80020-7026

Mailing address

4 Garden Ctr
Broomfield, CO 80020-7026
Phone (303) 469-1941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405001553 CO Practitioner - Optometry 5799778874 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2348COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Eye Center, LLC Optometrist CurrentSince Jul 12, 2003 Accepting new patients
Colorado Eye Center, LLC Optometrist Current Accepting new patients
Colorado Eye Center, LLC Optometrist CurrentSince Jul 12, 2003 Accepting new patients

Locations

1692 30th St
Boulder, CO 80301
Phone (303) 443-0857

4 Garden Ctr
Broomfield, CO 80020
Phone (303) 469-1941

4 Garden Ctr
Ste 100
Broomfield, CO 80020
Phone (303) 469-1941

9835 S Parker Rd
Parker, CO 80134
Phone (303) 841-3937

12450 York St
Thornton, CO 80241
Phone (303) 452-2020

10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083

Interoperability endpoints

  • Direct secure messaging: kurt.kuskie.p5@direct.inlandeyespecialists.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1679501530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GARDEN CTR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207026",
            "telephone_number": "303-469-1941",
            "fax_number": "303-469-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GARDEN CTR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207026",
            "telephone_number": "303-469-1941",
            "fax_number": "303-469-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSKIE",
        "first_name": "KURT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.