DR. JENNIFER S SIMONSON (NPI# 1184624520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184624520 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER S SIMONSON |
| Credential | O.D. |
| Practice Address |
1790 30th St Ste 311 Boulder CO 80301-1020 |
| Mailing Address |
1342 Kanemoto Ln Erie CO 80516-6946 |
| Practice Telephone | 3034432257 |
| Practice Fax Number | 3034434599 |
| Mailing Telephone | 7202815042 |
| Mailing Fax Number | 3034434599 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2393 | CO | Eye and Vision Services Providers |
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
2393 | CO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 62757008 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2800 Valmont Rd, Boulder, CO 803011310 | 3034432257 | 3034434599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457754905 | Jennifer Simonson | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2014-09-29 |
| 1104175504 | Jennifer Nicole Simonson | Occupational Therapy Assistant | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2012-08-31 |
| Street Address |
1790 30TH ST STE 311 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326453978 | Brenda Gilchrist | Optometrist | 1790 30th St Ste 311, Boulder, CO 80301-1020 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912216094 | Jacinta Olson | Optometrist | 1692 30th St, Boulder, CO 80301-1034 | 2010-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487103339 | Colorado Center for Visual Performance LLC | Optometrist | 71 Erie Pkwy Unit 105, Erie, CO 80516-2520 | 2016-10-03 |
| 1831539741 | Joshua Watt | Optometrist | 1710 Jet Stream Dr Ste 100, Colorado Springs, CO 80921 | 2013-06-25 |
| 1003086463 | Amy C Cecil Od Pllc | Optometrist | 100 Elk Run Dr Ste 206, Basalt, CO 81621-9241 | 2008-03-01 |
| 1033304514 | Academy for Visual Achievement, Inc. | Optometrist | 12265 W Bayaud Ave, Suite 120, Lakewood, CO 80228-2122 | 2007-09-07 |
| 1063636256 | Horizons Specialized Services | Optometrist | 405 Oak Street, Steamboat Springs, CO 80477-4867 | 2007-04-12 |
| 1275662371 | Ron Bateman | Optometrist | 373 W Drake Road, Suite 3, Fort Collins, CO 80526-2881 | 2007-03-05 |
| 1679582878 | Rick J Morris | Optometrist | 12265 West Bayaud Ave, Suite 120, Lakewood, CO 80228-2116 | 2006-08-05 |
| 1093774572 | Goldenwood | Optometrist | 1208 Washington Ave, Golden, CO 80401-1145 | 2006-03-22 |
| 1427032440 | Diane Elaine Reddin | Optometrist | 210 E. Bridge St., Hotchkiss, CO 81419 | 2005-12-02 |
| 1215925565 | Amy C. Cecil | Optometrist | 100 Elk Run Dr, Suite 206, Basalt, CO 81621-9205 | 2005-10-11 |
| Find all providers with the same taxonomy | ||||
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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.