Active NPI
Claire Kosters Peskosky, O.D.
- Optometrist
- Louisville, CO
National Provider Identifier
1962810614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3902
- Practice address
- 615 Main St
Louisville, CO 80027-1894 - Phone
- (303) 666-6320
- NPI assigned
- Jul 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3902 | CO | Primary |
Addresses
Primary practice location
615 Main St
Louisville, CO 80027-1894
Mailing address
3500 Washtenaw Ave Ste C
Ann Arbor, MI 48104-5251
Phone (734) 975-9371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008 | AZ | MD | Pediatric Dentist |
| 3902 | CO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693094400000",
"number": "1962810614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 WASHTENAW AVE STE C",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481045251",
"telephone_number": "734-975-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 MAIN ST",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271894",
"telephone_number": "303-666-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESKOSKY",
"first_name": "CLAIRE",
"middle_name": "KOSTERS",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-25",
"last_updated": "2023-08-27",
"certification_date": "2023-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.