Organization Active NPI

Eye Envy Vision Inc

  • Optometrist
  • Aurora, CO
National Provider Identifier
1902518087
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE ENVY VISION INC
Practice address
700 S Buckley Rd Apt K
Aurora, CO 80017-3253
Phone
(720) 730-5390
NPI assigned
Dec 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Dr. Danielle Gloster, OD
Title
Optometrist
Phone
(720) 530-5390

Specialties & licenses 1

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

Addresses

Primary practice location

700 S Buckley Rd Apt K
Aurora, CO 80017-3253

Mailing address

PO Box 390696
Denver, CO 80239-1696
Phone (720) 530-5390

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL eyeenvyvision.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230717000357 CO Part B Supplier - Clinic/Group Practice 5597125021 Receives reassigned benefits from 4 practitioners
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1902518087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390696",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802391696",
            "telephone_number": "720-530-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S BUCKLEY RD APT K",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800173253",
            "telephone_number": "720-730-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ENVY VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "GLOSTER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "720-530-5390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eyeenvyvision.com",
            "affiliation": "N",
            "address_1": "700 South Buckley Rd",
            "address_2": "Unit K",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.