DR. TYLER W PERSSON (NPI# 1679911127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679911127 |
| Entity Type | Individual |
| Full Name | DR. TYLER W PERSSON |
| Credential | O.D. |
| Practice Address |
4803 Ward Rd Wheat Ridge CO 80033-1902 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2015-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0002978 | CO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01073311 | 05 | |
| CO | KAISER COMMERCIAL NUMBER | 025966 | 01 |
| Street Address |
4803 WARD RD |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962409318 | Debra A Friesen | Internal Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2005-06-30 |
| 1932622198 | Denise K Johler | Registered Nurse | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-07-19 |
| 1487181483 | Hannelore Geeraert | Family Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-05-22 |
| 1720511892 | James Welle | Internal Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-04-06 |
| 1386181899 | Emily Mahar | Registered Nurse | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-01-22 |
| 1447708201 | Amanda Boshell | Registered Nurse | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-09-21 |
| 1841643400 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-07-19 |
| 1891144879 | Megan Grace Wendlandt | Obstetrics & Gynecology | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-06-09 |
| 1700240439 | Lindsey Ruth Kolar | Family Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-04-08 |
| 1710357124 | Valerie Diana Karvatski | Nurse Practitioner | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2015-09-28 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1144821174 | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | Optometrist | 5385 W 38th Ave, Wheat Ridge, CO 80212-7058 | 2020-11-05 |
| 1558324897 | Steven Wayne Rogers | Optometrist | 6280 W 38th Ave, Wheat Ridge, CO 80033-5056 | 2006-04-08 |
| 1164416442 | Thomas G Brookes | Optometrist | 4485 Wadsworth, #208, Wheat Ridge, CO 80033-3310 | 2005-09-01 |
| 1437716123 | Sarah Bielski | Optometrist | 4875 Ward Rd Ste 600, Wheat Ridge, CO 80033-1944 | 2019-05-29 |
| 1205390101 | Tcc Optometry Inc | Optometrist | 6280 W 38th Ave, Wheat Ridge, CO 80033-5056 | 2019-01-24 |
| 1316396591 | Paul Vincent Mchenry | Optometrist | 4875 Ward Rd Ste 600, Wheat Ridge, CO 80033-1944 | 2016-06-08 |
| 1699144790 | Ty Clase | Optometrist | 6280 W 38th Ave, Wheat Ridge, CO 80033-5056 | 2015-09-18 |
| 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 |
| 1740310507 | Norman R Miller | Optometrist | 4803 Ward Rd, Wheat Ridge, CO 80033 | 2007-03-07 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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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.