REPINE VISION AND LASER LLC (NPI# 1164416947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164416947 |
| Entity Type | Organization |
| Organization Name | REPINE VISION AND LASER LLC |
| Other Organization Name | COUNTY LINE OPTICAL |
| Practice Address |
8381 Southpark Ln Littleton CO 80120-4508 |
| Practice Telephone | 3037308024 |
| Practice Fax Number | 3037306163 |
| Mailing Telephone | 3037308024 |
| Mailing Fax Number | 3037306163 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2008-02-01 |
| Authorized Official Name | MS. NORA PEARSON (OPTICIAN) |
| Authorized Official Telephone | 3037308024 |
| Is Organization Subpart | Y |
| Parent Organization Name | REPINE VISION AND LASER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS CLUE SHIELD | 40376 | 01 | |
| CO | 55800068 | 05 |
| Other Name | Type Code |
|---|---|
| COUNTY LINE OPTICAL | Doing Business As Name - Organization |
| Street Address |
8381 SOUTHPARK LN |
| City | LITTLETON |
| State | CO |
| Zip Code | 80120-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881687432 | Stephan Lance Forstot | Ophthalmology | 8381 Southpark Ln, Littleton, CO 80120-4508 | 2005-08-30 |
| 1023534195 | Kellie Hammer | Technician/Technologist | 8381 Southpark Ln, Littleton, CO 80120-4508 | 2017-08-20 |
| 1396163929 | Michael Wildes | Ophthalmology | 8381 Southpark Ln, Littleton, CO 80120 | 2014-04-01 |
| 1861636581 | Bradley Witt Gustave | Ophthalmology | 8381 Southpark Ln, Littleton, CO 80120-4508 | 2009-04-24 |
| 1184884017 | Sarah Mirza | Ophthalmology | 8381 Southpark Ln, Littleton, CO 80120-4508 | 2008-06-13 |
| 1801015284 | Crna Associates Inc. | Nurse Anesthetist, Certified Registered | 8381 Southpark Ln, Littleton, CO 80120 | 2007-04-24 |
| 1285707034 | Robert Isaac Fish | Ophthalmology | 8381 Southpark Ln, Littleton, CO 80120-4508 | 2006-11-16 |
| 1679656714 | Littleton Day Surgery Center LLC | Clinic/Center | 8381 Southpark Ln, Littleton, CO 80120-4508 | 2006-10-23 |
| 1366467631 | Barbara Lewis | Nurse Anesthetist, Certified Registered | 8381 Southpark Ln, Littleton, CO 80120-4508 | 2006-07-13 |
| 1326032418 | Corneal Consultants of Colorado PC | Eyewear Supplier (Equipment, not the service) | 8381 Southpark Ln, Littleton, CO 80120-4508 | 2005-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156303 | Kelly Joy Brutsch | Counselor | 8191 Southpark Lane Suite 201, Littleton, CO 80120 | 2019-10-18 |
| 1902468309 | Infiniti Counseling, LLC | Clinic/Center | 4 W Dry Creek Circle, Littleton, CO 80120 | 2019-07-05 |
| 1437642642 | Brent Charles Mowery | Dentist | 209 W Littleton Blvd Ste B, Littleton, CO 80120 | 2018-06-12 |
| 1225525066 | Christopher Charles Miller | Counselor | 7851 S. Elati St., Suite 203, Littleton, CO 80120 | 2018-04-17 |
| 1417455890 | Cynthia Cline Mcrae | Counselor | 7921 Southpark Plaza, Grace Counseling, Suite 204, Littleton, CO 80120 | 2018-01-31 |
| 1780113175 | Janine Marie Lopez | Case Manager/Care Coordinator | 5500 S Sycamore, Littleton, CO 80120 | 2017-06-08 |
| 1952845588 | Hilary Sparrow Morris | Counselor | 991 Southpark Drive, #200, Cerescan, Littleton, CO 80120 | 2016-12-16 |
| 1760837132 | Supported Change,llc | Social Worker | 609 W Littleton Blvd Suite 201, Littleton, CO 80120 | 2016-05-04 |
| 1598123994 | Jarod Williams | Counselor | 8151 Southpark Ln Unit 250, Littleton, CO 80120 | 2016-02-01 |
| 1770948085 | Susan Jean Sylvester | Counselor | 609 West Littleton Blvd., Suite 201, Littleton, CO 80120 | 2015-12-31 |
| Find all providers in zip 80120 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659436939 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 5132 S Wadsworth Blvd Unit 110, Littleton, CO 80123-2213 | 2006-12-27 |
| 1972529139 | Sowash Optometry Group PC | Eyewear Supplier (Equipment, not the service) | 8501 W Bowles Ave, 1a 782, Littleton, CO 80123-9502 | 2006-07-14 |
| 1528090073 | America's Best Contacts & Eyeglasses | Eyewear Supplier (Equipment, not the service) | 5066 S. Wadsworth Blvd., Unit 120, Littleton, CO 80123 | 2006-07-07 |
| 1487600425 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6675 Business Center Dr, Littleton, CO 80130-3603 | 2006-05-25 |
| 1467842435 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 7900 W Quincy Ave, Littleton, CO 80123-1318 | 2015-01-29 |
| 1285024257 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 8686 Park Meadows Center Dr, Littleton, CO 80124-5129 | 2015-01-29 |
| 1518013218 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8501 W Bowles Ave, Southwest Plaza, Littleton, CO 80123-9502 | 2007-01-26 |
| 1336291970 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 9390 W Cross Dr, Littleton, CO 80123-2202 | 2007-01-16 |
| 1689761819 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 8501 W Bowles Ave, Southwest Plaza, Littleton, CO 80123-9502 | 2006-10-09 |
| 1114948262 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 8501 W Bowles Ave, Littleton, CO 80123-9502 | 2006-07-22 |
| Find all providers in LITTLETON | ||||
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| 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.