Olde Towne Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OLDE TOWNE EYE CARE LLC

Practice address

800 3Rd Ave
Longmont, CO 80501-5928

Phone

(303) 772-6140

Fax

(303) 772-9128

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Audrey J Brodie, OD

Title

Owner

Phone

(303) 772-6140

Specialties & licenses 1

Addresses

Other names 1

• Third Avenue Eyecare Doing business as

Practitioners 1

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

• Donald Joseph Keller, MD

  • Ophthalmology Physician
  • Boulder, CO
  • NPI 1275570038
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1992894489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 3RD AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015928",
            "telephone_number": "303-772-6140",
            "fax_number": "303-772-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 3RD AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015928",
            "telephone_number": "303-772-6140",
            "fax_number": "303-772-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDE TOWNE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "BRODIE",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-772-6140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Third Avenue Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Elizabeth Odrzywolski, OTR/L
• Christian A Ogden, LPC
• Herbert G Ogden
• Ann Manwaring Ohara, MA LPC
• Ugorji Ihuarulam Chiemeka Okorie, MD
• Joni Oldroyd, MA, CCC-SLP
• Irene Olijnyk, M.D.
• Nancy J Olin, M,A, CCC-SLP
• Alyssa M Olivieri, MOT, OTR/L
• Danielle Olson

• Optometrist in Longmont, CO
• Providers in Longmont, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.