NPIMap

Organization Active NPI

Northglenn Optometric Center, P.C.

  • Optometrist
  • Northglenn, CO
National Provider Identifier
1922281377
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
711 Issued in CO
Legal business name
NORTHGLENN OPTOMETRIC CENTER, P.C.
Practice address
10360 Melody Dr
Northglenn, CO 80260-6046
Phone
(303) 452-5670
Fax
(303) 452-2006
NPI assigned
Dec 7, 2007
Last updated
Dec 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Dennis S. McGuire, O.D.
Title
Owner
Phone
(303) 452-5670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 711 CO Primary

Addresses

Primary practice location

10360 Melody Dr
Northglenn, CO 80260-6046

Mailing address

10360 Melody Dr
Northglenn, CO 80260-6046
Phone (303) 452-5670

Other identifiers 2

IdentifierTypeStateIssuer
0307120001OtherCOCIGNA/DMERC
08007114MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1922281377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10360 MELODY DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802606046",
            "telephone_number": "303-452-5670",
            "fax_number": "303-452-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10360 MELODY DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802606046",
            "telephone_number": "303-452-5670",
            "fax_number": "303-452-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHGLENN OPTOMETRIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-452-5670",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/DMERC",
            "identifier": "0307120001",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08007114",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

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