Organization Active NPI

Douglas B Carter II MD PC

  • Ophthalmology Physician
  • Greeley, CO
National Provider Identifier
1891979480
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
28078 Issued in CO
Legal business name
DOUGLAS B CARTER II MD PC
Practice address
1931 65TH Ave
#C
Greeley, CO 80634-7946
Phone
(970) 352-1877
Fax
(970) 356-9274
NPI assigned
Dec 19, 2007
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Douglas B Carter II, M.D.NPI 1053390674
Title
Owner
Phone
(970) 352-1877

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 28078 CO Primary

Addresses

Primary practice location

1931 65TH Ave
#C
Greeley, CO 80634-7946

Mailing address

1931 65TH Ave
#C
Greeley, CO 80634-7946
Phone (970) 352-1877

National Provider Directory

National Provider Directory

Locations

3400 W 16th St
Ste 2P
Greeley, CO 80634
Phone (970) 356-4040

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1891979480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 65TH AVE",
            "address_2": "#C",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347946",
            "telephone_number": "970-352-1877",
            "fax_number": "970-356-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 65TH AVE",
            "address_2": "#C",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347946",
            "telephone_number": "970-352-1877",
            "fax_number": "970-356-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS B CARTER II MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-352-1877",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "28078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.