Active NPI
Envision Boulder
- Optometrist
- Boulder, CO
National Provider Identifier
1982873543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ENVISION BOULDER
- Practice address
- 1011 Pearl St
Boulder, CO 80302-5110 - Phone
- (303) 939-8021
- NPI assigned
- Feb 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nancy M Wells
- Title
- Assistant
- Phone
- (303) 939-8021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1011 Pearl St
Boulder, CO 80302-5110
Mailing address
1011 Pearl St
Boulder, CO 80302-5110
Phone (303) 939-8021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1011 Pearl St
Boulder, CO 80302
Phone (303) 939-8021
1230 Spruce St
Boulder, CO 80302
Phone (303) 939-8021
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Boulder, CO
- NPI 1194864801
-
- Optometrist
- Boulder, CO
- NPI 1730229170
-
- Optometrist
- Broomfield, CO
- NPI 1861988990
-
- Pediatric Optometrist
- Longmont, CO
- NPI 1811125636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659398400000",
"number": "1982873543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 PEARL ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803025110",
"telephone_number": "303-939-8021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 PEARL ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803025110",
"telephone_number": "303-939-8021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENVISION BOULDER",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-27",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ASSISTANT",
"authorized_official_telephone_number": "303-939-8021",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.