KIDS SPECTACLE SHOP NPI 1083134431

NPI Information

NPI: 1083134431
Provider Name: KIDS SPECTACLE SHOP
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2575 PEARL ST STE 1C
BOULDER, CO
ZIP 80302
Phone: (303) 442-6260
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KIDS SPECTACLE SHOP is an eyewear supplier in Boulder, CO. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. KIDS SPECTACLE SHOP NPI is 1083134431. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2575 PEARL ST STE 1C
BOULDER, CO
ZIP 80302-851
Phone: (303) 442-6260

The provider's authorized official is Dylon Storey .
The authorized official title is Owner and has the following contact phone number (316) 807-2720.

The enumeration date for this NPI number is 6/26/2017 and was last updated on 8/3/2017.

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	156FX1800X	Technician/Technologist	Optician			No
2	332H00000X	Eyewear Supplier				Yes

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: 11/14/2023

NPI Synchronization or Removal

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