Crockett Vision Center Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ESP1196 Issued in CO

Legal business name

CROCKETT VISION CENTER INC.

Doing business as

Columbine Eyecare Center

Practice address

1345 Wadsworth Blvd
Lakewood, CO 80214-4209

Phone

(303) 238-9900

Fax

(303) 238-8527

NPI assigned

Dec 28, 2007

Last updated

Feb 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Kim Crockett, O.D.

Title

President/ Optometrist

Phone

(303) 238-9900

Specialties & licenses 1

Addresses

Other names 1

• Columbine Eyecare Center Doing business as

Locations

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.

• Emma Lundien, O.D.

  • Optometrist
  • Golden, CO
  • NPI 1972050797
  NPD (past)

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1902080716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144209",
            "telephone_number": "303-238-9900",
            "fax_number": "303-238-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144209",
            "telephone_number": "303-238-9900",
            "fax_number": "303-238-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROCKETT VISION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT/ OPTOMETRIST",
        "authorized_official_telephone_number": "303-238-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "ESP1196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbine Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Z Crim, LPC
• Diana Isabel Cristancho, OTR/L
• Critical Care Pulmonary & Sleep Assoc. Prof LLP
• Critical Care Pulmonary and Sleep Associates Professional LLP
• Kylee Croasmun, MT
• Christopher Cromie
• Bryan Robert Crosby, O.D.
• Elizabeth Crosby, SWC
• Joshua Aaron Cross
• Keith Thomas Crosson, BA

• Optometrist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.