Chester T Roe III MD L L C

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

24061 Issued in CO

Legal business name

CHESTER T ROE III MD L L C

Practice address

4999 E Kentucky Ave
Suite 203
Denver, CO 80246-2281

Phone

(303) 758-5477

Fax

(303) 758-3069

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chester T Roe III, M.D.NPI 1114997913

Title

Owner

Phone

(303) 758-5477

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Cherry Creek Optical

  • Eyewear Supplier
  • Denver, CO
  • NPI 1942407341

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chester Thomas Roe III, M.D.

  • Ophthalmology Physician
  • Denver, CO
  • NPI 1114997913
  Medicare reassignment Care Compare group NPD Authorized official
• Sherwyn Jay Vicksman, O.D.

  • Optometrist
  • Denver, CO
  • NPI 1265402069
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1831389030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 E KENTUCKY AVE",
            "address_2": "SUITE 203",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463901",
            "telephone_number": "303-758-5477",
            "fax_number": "303-758-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 E KENTUCKY AVE",
            "address_2": "SUITE 203",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462281",
            "telephone_number": "303-758-5477",
            "fax_number": "303-758-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER T ROE III MD L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-758-5477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1145",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "24061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18689540",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Cherry
• Cynthia Cherubino, PT
• Chesed Counseling Center, PLLC
• Eric S Chess, MD.
• Sarah Freeman Chess, M.D.
• Amanda Hope Chestnut, M.S., OTR
• Paul M Chetham, MD
• Francis Cheung
• Ka Ho Cheung
• Ann E Chevalier, CNM

• Ophthalmology Physician in Denver, CO
• Providers in Denver, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.