Amy C Cecil OD PLLC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

1261 Issued in CO

Legal business name

AMY C CECIL OD PLLC

Practice address

100 Elk Run Dr Ste 206
Basalt, CO 81621-9241

Phone

(970) 927-5107

Fax

(970) 927-5108

NPI assigned

Mar 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amy C Cecil, O.D.

Title

Owner

Phone

(970) 927-5107

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1003086463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELK RUN DR STE 206",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816219241",
            "telephone_number": "970-927-5107",
            "fax_number": "970-927-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELK RUN DR STE 206",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816219241",
            "telephone_number": "970-927-5107",
            "fax_number": "970-927-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY C CECIL OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-01",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "CECIL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-927-5107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "1261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52027732",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Basalt, CO
• Vision Therapy Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.