Individual provider Active NPI

Kerry Jo Paumen, CERTIFIED OPTICIAN

  • Optician
  • Cortez, CO
National Provider Identifier
1992791438
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
152435 Issued in CO
Practice address
48 E Main St
Cortez, CO 81321-3209
Phone
(970) 565-1580
Fax
(970) 565-8203
NPI assigned
Sep 20, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 152435 CO Primary

Addresses

Primary practice location

48 E Main St
Cortez, CO 81321-3209

Mailing address

48 E Main St
Cortez, CO 81321-3209
Phone (970) 565-1580

Other identifiers 1

IdentifierTypeStateIssuer
08003899MedicaidCO

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
152435COMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Shoppe Inc Optician Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992791438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 E MAIN ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213209",
            "telephone_number": "970-565-1580",
            "fax_number": "970-565-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 E MAIN ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213209",
            "telephone_number": "970-565-1580",
            "fax_number": "970-565-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUMEN",
        "first_name": "KERRY",
        "middle_name": "JO",
        "credential": "CERTIFIED OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CO",
            "license": "152435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08003899",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.