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

Last updated

Jul 29, 2008By the provider in NPPES

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.NPI 1215925565

Title

Owner

Phone

(970) 927-5107

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy C. Cecil, O.D.

  • Vision Therapy Optometrist
  • Basalt, CO
  • NPI 1215925565
  Authorized official Same address or phone

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": "",
            "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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• Maggie Renee' Arceneaux, D.D.S.
• Noel E Armstrong, DPM
• Aspen Dental Sleep Medicine

• Vision Therapy Optometrist in Basalt, CO
• Providers in Basalt, CO by specialty
• 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.