Beverly Jo Rouleau, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

095713 Issued in CO

Practice address

7800 E Hampden Ave Unit 51
Denver, CO 80231-4862

Phone

(303) 755-9880

Fax

(303) 338-5994

NPI assigned

Aug 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• International Optique Inc

  • Optician
  • Denver, CO
  • NPI 1710436449
  NPD Authorized official

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1942084504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 E HAMPDEN AVE UNIT 51",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314862",
            "telephone_number": "303-755-9880",
            "fax_number": "303-338-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 E HAMPDEN AVE UNIT 51",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314862",
            "telephone_number": "303-755-9880",
            "fax_number": "303-338-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROULEAU",
        "first_name": "BEVERLY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CO",
            "license": "095713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Rottinger, LCSW
• Richard Rotunno
• Pamela Sue Rotwein, D.D.S.
• Andrea Rotz, LPC
• Sam Tom Rougas, MD
• Sabrina Roult
• Rhesia-Maria N Roumain-Ochoa, LCSW
• Ralph Rodney Round, M.D
• Stephanie Anne Rounds, D.D.S.
• Roundup Fellowship Inc

• Optician in Denver, CO
• Providers in Denver, CO by specialty
• Optician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.