NPIMap

Organization Active NPI

Dr Douglas C Kiefer & Associates PC.

  • Optometrist
  • Loveland, CO
National Provider Identifier
1881719474
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1268 Issued in CO
Legal business name
DR DOUGLAS C KIEFER & ASSOCIATES PC.
Practice address
5943 Sky Pond Dr, Unit E100
Loveland, CO 80538
Phone
(970) 667-1866
Fax
(970) 667-7826
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Douglas C Kiefer, O.D.NPI 1306807821
Title
Owner
Phone
(970) 226-0540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1268 CO Primary

Addresses

Primary practice location

5943 Sky Pond Dr, Unit E100
Loveland, CO 80538

Mailing address

5943 Sky Pond Dr, Unit E100
Loveland, CO 80538
Phone (970) 667-1866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040629001142 CO Part B Supplier - Clinic/Group Practice 9537145438 Receives reassigned benefits from 6 practitioners
Practice locations: Loveland, CO

National Provider Directory

National Provider Directory

Locations

5943 Sky Pond Dr
Unit E100
Loveland, CO 80538
Phone (970) 667-0123

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1881719474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 SKY POND DR, UNIT E100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80538",
            "telephone_number": "970-667-1866",
            "fax_number": "970-667-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5943 SKY POND DR, UNIT E100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80538",
            "telephone_number": "970-667-1866",
            "fax_number": "970-667-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DOUGLAS C KIEFER & ASSOCIATES PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "KIEFER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-226-0540",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.