DR. REID THOMAS WESLEY OBERER


Address: 580 Mohawk Drive, Boulder, CO 80302-3712
Phone: 3033383800

DR. REID THOMAS WESLEY OBERER (NPI# 1093831612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093831612
Entity Type Individual
Full Name DR. REID THOMAS WESLEY OBERER
Credential OD
Practice Address 580 Mohawk Drive
Boulder
CO 80302-3712
Mailing Address 10350 E Dakota Avenue
Denver
CO 80147-1314
Practice Telephone 3033383800
Mailing Telephone 3033447504
Mailing Fax Number 3033447907
Enumeration Date 2007-03-22
Last Update Date 2015-05-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 1727 CO Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO KAISER COMMERCIAL NUMBER 009937 01
KAISER-COMMERCIAL NUMBER 009937 01
CO 78121043 05

Office Location

Street Address 580 MOHAWK DRIVE
City BOULDER
State CO
Zip Code 80302-3712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356679278 Nissa Elizabeth Bottomley Registered Nurse 580 Mohawk Drive, Boulder, CO 80302 2009-12-04
1154658664 Amelia Sita Ravishankara Specialist 580 Mohawk Drive, Baseline Medical Office, Boulder, CO 80302 2009-11-05

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NPI Name Taxonomy Address Enumeration
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1366909806 Brett Adamek Counselor 2027 Broadway, Suite E, Boulder, CO 80302 2019-02-20
1124592225 Stepheny Antrobus Counselor 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 2019-01-11
1942721337 Sasha Marvel Hope Nutritionist 2260 Baseline Road #102, Boulder, CO 80302 2017-07-06
1073045365 Mark Shusterman Internal Medicine 2133 5th Street, Boulder, CO 80302 2017-03-28
1316489396 Agnieszka Spuzak Nutritionist 1267 Fourmile Canyon Dr, Boulder, CO 80302 2016-11-08
1265980031 Tanya Robertson Physical Therapy Assistant 1633 Grove Street, Boulder, CO 80302 2016-09-21
1699142380 Libbey Occupational Therapy Services LLC Occupational Therapist 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 2015-08-28
1831597244 Annemarie Curran Prairie Counselor 2505 Walnut St., Ste 303, Boulder, CO 80302 2014-12-17
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245783240 Rocky Mountain Eye Institute, LLC Optometrist 1645 28th St, Boulder, CO 80301-1001 2016-07-27
1861864571 Ting Zhang Optometrist 4800 Baseline Rd Ste D107, Boulder, CO 80303-2643 2015-10-21
1689918799 Boulder Eye Care Professionals LLC Optometrist 2795 Pearl St Ste 100, Boulder, CO 80302-3826 2012-11-15
1801100318 Richard D Bruess Od Optometrist 6545 Gunpark Dr Ste 250, Boulder, CO 80301-3350 2010-07-27
1194907261 Paula Postma Optometrist 2995 Baseline Rd Ste 102, Boulder, CO 80303-2318 2007-11-30
1437346343 Boulder Vision Associates, P.C., Inc. Optometrist 5305 Spine Rd Ste B, Boulder, CO 80301-3331 2007-09-25
1225251788 Boyace J. Holland, O.d. Optometrist 1310 College Ave Ste 310, Boulder, CO 80302-7324 2007-04-11
1710004890 Glenda Denham Optometrist 2885 Aurora Ave Ste 4, Boulder, CO 80303-2251 2007-03-23
1225165335 Monica Mortenson Optometrist 1855 29th St # 1e-1156, Boulder, CO 80301-1065 2007-02-27
1194864801 Jean Berkey Israelson Optometrist 1230 Spruce St, Boulder, CO 80302-4806 2007-02-06
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Competitor

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City BOULDER
Zip Code 80302

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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