Simonson, Jennifer S
Simonson, Jennifer S is an sole proprietor health care provider with primary practice located at 1790 30Th St Ste 311 , Boulder CO 80301-1020. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is her primary health care specialty. Simonson, Jennifer S can be contacted via phone (303) 443-2257.Contact Information
Primary practice address
1790 30Th St Ste 311
Boulder CO 80301-1020
Phone: (303) 443-2257
Fax: (303) 443-4599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2393 | Colorado |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 2393 | Colorado |
Profile Details
| NPI number | 1184624520 |
|---|---|
| LBN Legal business name | Simonson, Jennifer S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Dec 26th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184624520 | NPPES |
| Colorado | MEDICAID | 62757008 |
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