Alpine Eyecare Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

2196 Issued in CO

Legal business name

ALPINE EYECARE CENTER

Practice address

2449 Pine St
Boulder, CO 80302-4610

Phone

(720) 600-0440

NPI assigned

Dec 7, 2015

Organization subpart

No

Name

Dr. Charles Beatty, O.D.,F.A.A.O.

Title

President

Phone

(720) 600-0440

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2016.

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1770958415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 PINE ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 PINE ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024610",
            "telephone_number": "720-600-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE EYECARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-600-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D.,F.A.A.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha Dental Care IX PC
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• Alpine Cancer Care LLC
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• Alpine Clinical Research Center, Inc
• Alpine Medical Imaging LLC
• Alpine RS LLC
• Alpine Spine Center, PC
• Alpine Surgical LLC
• Alpine Urology, PLLC

• All providers in Boulder, CO
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.