Lakewood Vision, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LAKEWOOD VISION, PLLC

Practice address

1535 S Kipling Pkwy
Lakewood, CO 80232-6258

Phone

(303) 937-8655

NPI assigned

Jan 29, 2019

Organization subpart

No

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

Authorized official

Name

Patrick Murphy Garth, MBA

Title

President/Ceo

Phone

(970) 471-1864

Specialties & licenses 1

Addresses

Other names 1

• Denver Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristine Marie Meske, OD

  • Optometrist
  • Littleton, CO
  • NPI 1962011320

  CO, Optometrist

  Medicare reassignment NPD
• Jonathan Daniel Owens, OD

  • Optometrist
  • Edwards, CO
  • NPI 1336142793

  CO, Optometrist

  Medicare reassignment NPD
• Gary Silbert Holtzman, OD

  • Optometrist
  • Thornton, CO
  • NPI 1063470532
  NPD
• Dennis Page, O.D.

  • Optometrist
  • Edwards, CO
  • NPI 1801857289
  NPD (past)

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1972067411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 S KIPLING PKWY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326258",
            "telephone_number": "303-937-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 S KIPLING PKWY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326258",
            "telephone_number": "303-937-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD VISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "GARTH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MURPHY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "970-471-1864",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakewood PDC PLLC
• Lakewood Smiles, P.C.
• Lakewood Terrace Affordable Assisted Living, LLC
• Lakewood Villa Operations, LLC
• Lakewood Vision Clinic PC
• Thomas J Lally, MD
• Melissa Lalonde, LCSW
• Alyssia Lam, DMD
• Hara Lam, O.D.
• Mimi Lam, L. AC

• All providers in Lakewood, CO
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.