Organization Active NPI

Richard D Bruess OD

  • Optometrist
  • Boulder, CO
National Provider Identifier
1801100318
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1549 Issued in CO
Legal business name
RICHARD D BRUESS OD
Practice address
6545 Gunpark Dr Ste 250
Boulder, CO 80301-3350
Phone
(303) 530-1973
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Richard Bruess
Title
Owner
Phone
(303) 530-1973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1549 CO Primary

Addresses

Primary practice location

6545 Gunpark Dr Ste 250
Boulder, CO 80301-3350

Mailing address

6545 Gunpark Dr Ste 250
Boulder, CO 80301-3350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1801100318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 GUNPARK DR STE 250",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 GUNPARK DR STE 250",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013350",
            "telephone_number": "303-530-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D BRUESS OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "BRUESS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-530-1973"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1549",
            "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 Jul 27, 2010; 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.