Denver Eye Care Specialists LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DENVER EYE CARE SPECIALISTS LLC

Practice address

2171 Prairie Center Pkwy
Brighton, CO 80601-7000

Phone

(678) 770-8649

NPI assigned

Mar 12, 2020

Organization subpart

Yes

Parent organization

DENVER EYE CARE SPECIALISTSAs reported in NPPES

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

Authorized official

Name

Elina Kolesnikov Davidoff

Title

OD

Phone

(678) 770-8649

Specialties & licenses 1

Addresses

Tax ID family

Denver Eye Care Specialists3 organizations share this tax ID, including this one

Part of

Denver Eye Care Specialists

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Denver Eye Care Specialists

  • Clinic/Center
  • Superior, CO
  • NPI 1356977185
  NPD tax ID
• Denver Eye Care Specialists

  • Health Service Clinic/Center
  • Denver, CO
  • NPI 1659618114
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Denver Eye Care Specialists

  • Health Service Clinic/Center
  • Denver, CO
  • NPI 1659618114
  NPPES parent name

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1811523640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 ULSTER ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 PRAIRIE CENTER PKWY",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806017000",
            "telephone_number": "678-770-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER EYE CARE SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENVER EYE CARE SPECIALISTS",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "DAVIDOFF",
        "authorized_official_first_name": "ELINA",
        "authorized_official_middle_name": "KOLESNIKOV",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "678-770-8649"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Paula De Oliveira Pereira, MD
• David Lee Debord, PHD
• Amber Degeorge Guerrero, MS, CCC-SLP
• Carlee Joann Delgado
• Dentists of Brighton, LLP
• Denver Physical Therapy, P.C.
• Leah Noelle Desgeorges, M.A.
• Charles Deshazer, MS
• Jaymi Devans, NP
• Pradeep Dhar, MD

• Clinic/Center in Brighton, CO
• Providers in Brighton, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.