Organization Active NPI

Ensight Skills Center, Inc.

  • Low Vision Rehabilitation Optometrist
  • Fort Collins, CO
National Provider Identifier
1003885716
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
Legal business name
ENSIGHT SKILLS CENTER, INC.
Practice address
1101 Oakridge Dr Unit C
Fort Collins, CO 80525-5536
Phone
(970) 407-9999
Fax
(970) 207-9844
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Denise L Moyer, COTA
Title
Director
Phone
(970) 407-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X Primary

Addresses

Primary practice location

1101 Oakridge Dr Unit C
Fort Collins, CO 80525-5536

Mailing address

1101 Oakridge Dr Unit C
Fort Collins, CO 80525-5536
Phone (970) 407-9999

Other practice location 1

1740 S College Ave
Fort Collins, CO 80525-1009
Phone (970) 407-9999

Other practice location 2

3307 S College Ave
Suite 108
Fort Collins, CO 80525-4196
Phone (970) 407-9999

Other identifiers 2

IdentifierTypeStateIssuer
1260967OtherCOSTATE EMPLOYMENT ID
CO04119OtherNORIDIAN TRADING PARTNER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041109000222 CO Part B Supplier - Clinic/Group Practice 8820051097 Receives reassigned benefits from 4 practitioners
Practice locations: Lakewood, CO; Fort Collins, CO; Lafayette, CO; Denver, CO; Greeley, CO

National Provider Directory

National Provider Directory
Tax ID family
Ensight Skills Center Inc2 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

8101 E Lowry Blvd
Ste 210
Denver, CO 80230
Phone (303) 831-7419

1101 Oakridge Dr
Unit C
Fort Collins, CO 80525
Phone (970) 407-9999

1740 S College Ave
Fort Collins, CO 80525
Phone (970) 407-9999

3307 S College Ave
Ste 108
Fort Collins, CO 80525
Phone (970) 407-9999

918 13th St
Ste 4
Greeley, CO 80631
Phone (970) 353-9417

300 Exempla Cir
Ste 120
Lafayette, CO 80026
Phone (303) 665-8766

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1003885716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 OAKRIDGE DR UNIT C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255536",
            "telephone_number": "970-407-9999",
            "fax_number": "970-207-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OAKRIDGE DR UNIT C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255536",
            "telephone_number": "970-407-9999",
            "fax_number": "970-207-9844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 S College Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805251009",
            "country_code": "US",
            "telephone_number": "970-407-9999",
            "fax_number": "970-207-9844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3307 S College Ave",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805254196",
            "country_code": "US",
            "telephone_number": "970-407-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENSIGHT SKILLS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-407-9999",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE EMPLOYMENT ID",
            "identifier": "1260967",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN TRADING PARTNER",
            "identifier": "CO04119",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 12, 2023; 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.