NPIMap

Organization Active NPI

Cherry Creek Optical

  • Eyewear Supplier
  • Denver, CO
National Provider Identifier
1942407341
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
21624440000 Issued in CO
Legal business name
CHERRY CREEK OPTICAL
Practice address
4999 E Kentucky Ave
Suite 100
Denver, CO 80246-3901
Phone
(303) 691-2233
NPI assigned
Jun 28, 2007
Last updated
Dec 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Dr. Chester T Roe III, M.D.NPI 1114997913
Title
Owner
Phone
(303) 758-5477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 21624440000 CO Primary

Addresses

Primary practice location

4999 E Kentucky Ave
Suite 100
Denver, CO 80246-3901

Mailing address

4999 E Kentucky Ave
Suite 100
Denver, CO 80246-3901
Phone (303) 691-2233

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4999 E Kentucky Ave
Ste 100
Denver, CO 80246
Phone (303) 691-2233

Practitioners & affiliated clinicians

Practitioners 2

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": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1942407341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 E KENTUCKY AVE",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463901",
            "telephone_number": "303-691-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 E KENTUCKY AVE",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463901",
            "telephone_number": "303-691-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY CREEK OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-758-5477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CO",
            "license": "21624440000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.