Optical Shoppe Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

OPTICAL SHOPPE INC

Practice address

48 E Main St
Cortez, CO 81321-3209

Phone

(970) 565-1580

Fax

(970) 565-8203

NPI assigned

Jun 9, 2016

Last updated

Jun 9, 2016By 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

Kerry J Paumen, ABOCNPI 1992791438

Title

Owner/Optician

Phone

(970) 565-1580

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Kerry Jo Paumen, CERTIFIED OPTICIAN

  • Optician
  • Cortez, CO
  • NPI 1992791438
  NPD (past) Authorized official

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1689023723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 E MAIN ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213209",
            "telephone_number": "970-565-1580",
            "fax_number": "970-565-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 E MAIN ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213209",
            "telephone_number": "970-565-1580",
            "fax_number": "970-565-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL SHOPPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "PAUMEN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "970-565-1580",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08-003899",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny M Nuuttila, RD
• Amanda O'Connor, CAT
• Kate Obrien, RN
• Obstetrix Medical Group of Colorado, P.C. (Rocky Mountain Pediatric Cardiology)
• Kelly Ogle, RN
• Orchid Isle Wellness Center LLC
• Orthodontics of Southwest Colorado PC
• Our Own Lives
• Nicole Marie Oury, M.D.
• Laurie Owen, RDH

• Optician in Cortez, CO
• Providers in Cortez, CO by specialty
• Optician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.