Active NPI
Bryan Vision Associates Inc
- Optometrist
- Lakewood, CO
National Provider Identifier
1790943850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BRYAN VISION ASSOCIATES INC
- Practice address
- 2525 S Wadsworth Blvd
101
Lakewood, CO 80227-3273 - Phone
- (303) 986-5983
- Fax
- (303) 986-5473
- NPI assigned
- May 27, 2008
- Last updated
- Feb 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stacey Kristin Spaulding, OD
- Title
- Optometrist
- Phone
- (303) 986-5983
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CO | Primary |
Addresses
Primary practice location
2525 S Wadsworth Blvd
101
Lakewood, CO 80227-3273
Mailing address
2525 S Wadsworth Blvd
101
Lakewood, CO 80227-3273
Phone (303) 986-5983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C466928 | Other | CO | MEDICARE PTIN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Lakewood, CO
- NPI 1164529798
-
- Optometrist
- Littleton, CO
- NPI 1902471733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328140800000",
"number": "1790943850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 S WADSWORTH BLVD",
"address_2": "101",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802273273",
"telephone_number": "303-986-5983",
"fax_number": "303-986-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 S WADSWORTH BLVD",
"address_2": "101",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802273273",
"telephone_number": "303-986-5983",
"fax_number": "303-986-5473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN VISION ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-27",
"last_updated": "2012-02-02",
"status": "A",
"authorized_official_last_name": "SPAULDING",
"authorized_official_first_name": "STACEY",
"authorized_official_middle_name": "KRISTIN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "303-986-5983",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTIN",
"identifier": "C466928",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.