MRS. KELLEY R JACKSON CONDON (NPI# 1275649444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275649444 |
| Entity Type | Individual |
| Full Name | MRS. KELLEY R JACKSON CONDON |
| Credential | O.D. |
| Practice Address |
1409 Washington Ave Golden CO 80401 |
| Practice Telephone | 3032711400 |
| Practice Fax Number | 3032719314 |
| Mailing Telephone | 3032711400 |
| Mailing Fax Number | 3032719314 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2009-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | CO1678 | CO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 08016784 | 05 |
| Street Address |
1409 WASHINGTON AVE |
| City | GOLDEN |
| State | CO |
| Zip Code | 80401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346886587 | Table Mountain Vision Center 2020, LLC | Optometrist | 1409 Washington Ave, Golden, CO 80401-1917 | 2019-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315152 | Ruth Lucia Settak | Social Worker | 17301 W. Colfax Ave., Ste 200, Golden, CO 80401 | 2020-10-28 |
| 1811457088 | Evening Elegance LLC | Prosthetic/Orthotic Supplier | 14500 W Colfax Ave Unit 246, Lakewood, CO 80401 | 2019-03-22 |
| 1255853826 | Angela Kathryn Brickman | Behavior Technician | 714 Ridgeside Drive, Golden, CO 80401 | 2017-07-14 |
| 1710408240 | Catherine Camacho | Psychologist | 913 Arapahoe St, Golden, CO 80401 | 2017-07-06 |
| 1710420492 | Colorado Complete Urgent Care Physicians LLC | Clinic/Center | 17101 S Golden Rd., Golden, CO 80401 | 2016-11-29 |
| 1366991051 | Britta Marie Olson | Physical Therapist | 600 Golden Ridge Rd, Suite 130, Golden, CO 80401 | 2016-09-23 |
| 1003284209 | Maria Alta Mcvey | Dental Hygienist | 2305 Jackson St., Golden, CO 80401 | 2015-09-04 |
| 1548644479 | Christine Rodriguez | Dental Hygienist | 2305 Jackson Street, Golden, CO 80401 | 2015-07-09 |
| 1508285776 | Colorado Pain Practice, Pllc | Anesthesiology | 755 Heritage Road, Suite 100, Golden, CO 80401 | 2014-04-15 |
| 1942644844 | Golden Kids Dental | Dentist | 2421 Ford St., Golden, CO 80401 | 2013-04-22 |
| Find all providers in zip 80401 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598938813 | Table Mountain Vision Clinic PC | Optometrist | 1409 Washington Ave., Golden, CO 80401 | 2008-04-08 |
| 1700843307 | Samuel J Baron | Optometrist | 2301 Ford St, Golden, CO 80401-2427 | 2006-04-27 |
| 1225021843 | Joel Riggs | Optometrist | 400 Indiana St., #360, Golden, CO 80401-3189 | 2005-08-30 |
| 1346886587 | Table Mountain Vision Center 2020, LLC | Optometrist | 1409 Washington Ave, Golden, CO 80401-1917 | 2019-11-22 |
| 1972050797 | Emma Lundien | Optometrist | 2301 Ford St, Golden, CO 80401-2427 | 2016-09-09 |
| 1588072755 | Amanda Axman | Optometrist | 2301 Ford St, Golden, CO 80401 | 2014-07-31 |
| 1427287036 | Megan Nicole Borden | Optometrist | 1208 Washington Ave, Golden, CO 80401-1145 | 2009-07-06 |
| 1356595375 | Goldenwood, Inc. | Optometrist | 1208 Washington Ave, Golden, CO 80401-1145 | 2008-11-05 |
| 1902076813 | Golden Vision Clinic PC | Optometrist | 2301 Ford St, Golden, CO 80401-2427 | 2008-03-06 |
| 1821285016 | Leanna Marie Dudley | Optometrist | 2301 Ford St, Golden, CO 80401-2427 | 2007-10-01 |
| Find all providers in GOLDEN | ||||
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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.