DR. JENNIFER S SIMONSON O.D. NPI 1184624520

NPI Information

NPI: 1184624520
Provider Name: DR. JENNIFER S SIMONSON, O.D.
Classification: Optometrist - 152WV0400X
Entity Type: Individual

Specialization: Vision Therapy

Address:
1790 30TH ST STE 311
BOULDER, CO
ZIP 80301
Phone: (303) 443-2257
Get Directions

DR. Jennifer S Simonson, O.D. is a vision therapy optometrist in Boulder, CO. The provider is 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. DR. Jennifer S Simonson, O.D. NPI is 1184624520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1790 30TH ST STE 311
BOULDER, CO
ZIP 80301-020
Phone: (303) 443-2257
Fax: (303) 443-4599

The enumeration date for this NPI number is 7/28/2005 and was last updated on 12/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		2393	COLORADO	No
2	152WV0400X	Optometrist	Vision Therapy	2393	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	62757008	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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