Eagle Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EAGLE EYECARE LLC

Practice address

611 24 Rd Ste 1
Grand Junction, CO 81505-1240

Phone

(970) 242-5412

NPI assigned

Aug 9, 2023

Organization subpart

No

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

Authorized official

Name

Akshay Patil, ODNPI 1043881303

Title

Owner

Phone

(951) 893-8187

Specialties & licenses 1

Addresses

Other names 1

• Eagle Eyecare LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Akshay Sanjay Patil, OD

  • Optometrist
  • Nome, AK
  • NPI 1043881303

  CO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1003599788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 24 RD STE 1",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051240",
            "telephone_number": "970-242-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 24 RD STE 1",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051240",
            "telephone_number": "970-242-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2025-09-02",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "PATIL",
        "authorized_official_first_name": "AKSHAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-893-8187",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Eyecare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie A Duyvejonck, RN
• Karen C Dwire, OTR
• Ellen Ablog Dy, M.D.
• Josh P Dyck
• E. Lee Hardin MD PC
• Eagle Ridge Healthcare LLC
• Eagle Ridge Healthcare LLC
• Eagle Ridge Operating Company, LLC
• Eagle Ridge Operating Company, LLC
• Eagle Ridge Operating Company, LLC

• Optometrist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.