CHILDREN'S EYE PHYSICIANS P.C. (NPI# 1114962651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114962651 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S EYE PHYSICIANS P.C. |
| Practice Address |
4875 Ward Rd Suite 600 Wheat Ridge CO 80033-1942 |
| Practice Telephone | 3034569456 |
| Practice Fax Number | 3034637560 |
| Mailing Telephone | 3034569456 |
| Mailing Fax Number | 3034637560 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | MRS. LYNETTE BRIDGES (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 3034635784 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04010328 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586468 | Children's Eye Physicians P.C. | Optometrist | 1190 Bookcliff Ave Unit 102, Grand Junction, CO 81501-8159 | 2020-07-28 |
| 1831708676 | Children's Eye Physicians P.C. | Optometrist | 2373 Central Park Blvd Unit 102, Denver, CO 80238-2300 | 2020-07-28 |
| 1598374332 | Children's Eye Physicians P.C. | Optometrist | 9094 E Mineral Ave, Ste 200, Centennial, CO 80112 | 2020-07-28 |
| 1336758184 | Children's Eye Physicians P.C. | Optometrist | 2575 Pearl St Ste 1c, Boulder, CO 80302-3851 | 2020-07-28 |
| Street Address |
4875 WARD RD SUITE 600 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629403076 | Children's Eye Physicians | Eyewear Supplier (Equipment, not the service) | 4875 Ward Rd, Suite 600, Wheat Ridge, CO 80033-1942 | 2013-09-04 |
| 1942640859 | Holly Anderson | Optometrist | 4875 Ward Rd, Suite 600, Wheat Ridge, CO 80033-1942 | 2013-06-25 |
| 1447694278 | Jessie Marie Vassau | Optometrist | 4875 Ward Rd, Suite 600, Wheat Ridge, CO 80033-1942 | 2013-04-23 |
| 1528270089 | Katherine Fitzgerald | Clinical Nurse Specialist | 4875 Ward Rd, Wheat Ridge, CO 80033-1942 | 2007-05-04 |
| 1285723452 | Justin Hubbard Arbuckle | Ophthalmology | 4875 Ward Rd, Suite 600, Wheat Ridge, CO 80033 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952346249 | Diana Marie Desantis | Ophthalmology | 4875 Ward Road, Suite 600, Wheat Ridge, CO 80033 | 2006-06-19 |
| 1386646370 | Melinda C Orourke | Ophthalmology | 4855 Ward Rd Ste 500, Wheat Ridge, CO 80033-1953 | 2005-08-10 |
| 1952306912 | Thomas P Campbell | Ophthalmology | 7920 W 44th Ave, Wheat Ridge, CO 80033-4506 | 2005-06-16 |
| 1750730891 | Thomas P. Campbell Md PC | Ophthalmology | 7920 W 44th Ave, Wheat Ridge, CO 80033-4506 | 2016-06-09 |
| 1548499049 | Antoni Allen | Ophthalmology | 7920 W 44th Ave, Wheat Ridge, CO 80033-4506 | 2009-07-07 |
| 1356536353 | Northwest Eye Center PC | Ophthalmology | 4855 Ward Rd, Suite 500, Wheat Ridge, CO 80033-1951 | 2007-09-12 |
| 1790802114 | Adrienne Lyons Ruth | Ophthalmology | 4875 Ward Road, Suite 600, Wheat Ridge, CO 80033 | 2007-03-22 |
| 1154465342 | Larry D Underwood Md | Ophthalmology | 7920 W 44th Ave, Wheat Ridge, CO 80033-4506 | 2007-02-19 |
| 1366586083 | Judeth Jensen | Ophthalmology | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2007-02-16 |
| 1285723452 | Justin Hubbard Arbuckle | Ophthalmology | 4875 Ward Rd, Suite 600, Wheat Ridge, CO 80033 | 2006-10-12 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
Please comment or provide details below to improve the information on CHILDREN'S EYE PHYSICIANS P.C..
| 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.