Provider Demographics
NPI:1225021843
Name:RIGGS, JOEL (OD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:
Last Name:RIGGS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 INDIANA ST.
Mailing Address - Street 2:#360
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401
Mailing Address - Country:US
Mailing Address - Phone:303-384-3700
Mailing Address - Fax:303-384-3855
Practice Address - Street 1:400 INDIANA ST.
Practice Address - Street 2:#360
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-3189
Practice Address - Country:US
Practice Address - Phone:303-384-3700
Practice Address - Fax:303-384-3855
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02292152W00000X
CO2553152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0108159Medicaid
IA36886OtherWELLMARK BCBS INDIVIDUAL
IA0456509Medicaid
IA07591OtherWELLMARK BCBS GROUP
IA07591OtherWELLMARK BCBS GROUP
IA0108159Medicaid
IA0456509Medicaid