Organization Active NPI

Tom'S Sportique Eyewear

  • Durable Medical Equipment & Medical Supplies
  • Boulder, CO
National Provider Identifier
1760616148
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TOM'S SPORTIQUE EYEWEAR
Practice address
3121 28TH St
Boulder, CO 80301-1315
Phone
(303) 442-2010
Fax
(303) 442-2010
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Mr. Thomis Buell, ABOC
Title
Owner/Optician
Phone
(303) 442-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3121 28TH St
Boulder, CO 80301-1315

Mailing address

3121 28TH St
Boulder, CO 80301-1315
Phone (303) 442-2010

National Provider Directory

National Provider Directory

Locations

3121 28th St
Boulder, CO 80301
Phone (303) 442-2010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1760616148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 28TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011315",
            "telephone_number": "303-442-2010",
            "fax_number": "303-442-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 28TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011315",
            "telephone_number": "303-442-2010",
            "fax_number": "303-442-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM'S SPORTIQUE EYEWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "BUELL",
        "authorized_official_first_name": "THOMIS",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "303-442-2010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.