Active NPI
Jonathon James Cuckler, OPTICIAN
- Optician
- Greeley, CO
National Provider Identifier
1780762781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 143242
- Practice address
- 1931 65TH Ave
Suite C
Greeley, CO 80634-7945 - Phone
- (970) 356-1047
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 143242 | CO | Primary |
Addresses
Primary practice location
1931 65TH Ave
Suite C
Greeley, CO 80634-7945
Mailing address
912 Boltz CT
Fort Collins, CO 80525-2801
Phone (970) 377-0592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143242 | CO | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1780762781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 BOLTZ CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252801",
"telephone_number": "970-377-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 65TH AVE",
"address_2": "SUITE C",
"city": "GREELEY",
"state": "CO",
"postal_code": "806347945",
"telephone_number": "970-356-1047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUCKLER",
"first_name": "JONATHON",
"middle_name": "JAMES",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CO",
"license": "143242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.