Active NPI
William B Britt, O.D.
- Optometrist
- Boulder, CO
National Provider Identifier
1790874808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1153
- Practice address
- 805 S Broadway
Ste 101
Boulder, CO 80305-5971 - Phone
- (303) 494-4449
- Fax
- (303) 499-5003
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1153 | CO | Primary |
Addresses
Primary practice location
805 S Broadway
Ste 101
Boulder, CO 80305-5971
Mailing address
805 S Broadway St
Ste 101
Boulder, CO 80305-5971
Phone (303) 494-4449
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1153 | CO | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1790874808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 S BROADWAY ST",
"address_2": "STE 101",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055971",
"telephone_number": "303-494-4449",
"fax_number": "303-499-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 S BROADWAY",
"address_2": "STE 101",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055971",
"telephone_number": "303-494-4449",
"fax_number": "303-499-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITT",
"first_name": "WILLIAM",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "1153",
"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 Nov 7, 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.