Organization Active NPI

Golden Vision Clinic PC

  • Optometrist
  • Golden, CO
National Provider Identifier
1902076813
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GOLDEN VISION CLINIC PC
Practice address
2301 Ford St
Golden, CO 80401-2427
Phone
(303) 278-2020
NPI assigned
Mar 6, 2008
Last updated
Nov 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Samuel J BaronNPI 1700843307
Title
President
Phone
(303) 278-2020

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2301 Ford St
Golden, CO 80401-2427

Mailing address

2301 Ford St
Golden, CO 80401-2427
Phone (303) 278-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080809000090 CO Part B Supplier - Clinic/Group Practice 2668546649 Receives reassigned benefits from 3 practitioners
Practice locations: Golden, CO

National Provider Directory

National Provider Directory

Locations

2301 Ford St
Golden, CO 80401
Phone (303) 278-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1902076813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 FORD ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012427",
            "telephone_number": "303-278-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 FORD ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012427",
            "telephone_number": "303-278-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VISION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-278-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.