Organization Active NPI

Associated Eye Care Professionals, PC

  • Optometrist
  • Parker, CO
National Provider Identifier
1679582480
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2148 Issued in CO
Legal business name
ASSOCIATED EYE CARE PROFESSIONALS, PC
Practice address
11960 Lioness Way
Suite 190
Parker, CO 80134-5640
Phone
(303) 794-1111
Fax
(303) 347-1341
NPI assigned
Aug 8, 2006
Last updated
May 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
E Randy Craven, MD
Title
Owner
Phone
(303) 794-1111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2148 CO Primary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 15013 CO

Addresses

Primary practice location

11960 Lioness Way
Suite 190
Parker, CO 80134-5640

Mailing address

11960 Lioness Way
Suite 190
Parker, CO 80134-5640
Phone (303) 794-1111

Other identifiers 1

IdentifierTypeStateIssuer
00033049MedicaidCO

National Provider Directory

National Provider Directory

Locations

26 W Dry Creek Cir
Ste 225
Littleton, CO 80120
Phone (303) 797-1900

Practitioners & affiliated clinicians

Practitioners 6

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1679582480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 LIONESS WAY",
            "address_2": "SUITE 190",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345640",
            "telephone_number": "303-794-1111",
            "fax_number": "303-347-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 LIONESS WAY",
            "address_2": "SUITE 190",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345640",
            "telephone_number": "303-794-1111",
            "fax_number": "303-347-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED EYE CARE PROFESSIONALS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "CRAVEN",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-794-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2148",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "15013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00033049",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.