Organization Active NPI

Virginia Vision Care Assoc., L.L.C.

Doing business as Longview Eye Care

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1003418542
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VIRGINIA VISION CARE ASSOC., L.L.C.
Doing business as
Longview Eye Care
Practice address
102 W Mountain Ave
Fort Collins, CO 80524-2823
Phone
(970) 407-0665
NPI assigned
Nov 10, 2020
Last updated
Nov 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Dr. Ewing R McClelland, OD
Title
Optometrist
Phone
(720) 825-3554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

102 W Mountain Ave
Fort Collins, CO 80524-2823

Mailing address

2416 Purdue Rd
Fort Collins, CO 80525-1711
Phone (970) 825-3554

Other identifiers 1

IdentifierTypeStateIssuer
33756236MedicaidCO

Other names 1

  • Longview Eye Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Longview Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

102 W Mountain Ave
Fort Collins, CO 80524
Phone (970) 407-0665

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1003418542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 PURDUE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251711",
            "telephone_number": "970-825-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MOUNTAIN AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242823",
            "telephone_number": "970-407-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA VISION CARE ASSOC., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAND",
        "authorized_official_first_name": "EWING",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "720-825-3554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33756236",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longview Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.