NPIMap

Organization Active NPI

Greeley Eye Doctors

  • Optometrist
  • Greeley, CO
National Provider Identifier
1013468578
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 0002949 Issued in CO
Legal business name
GREELEY EYE DOCTORS
Practice address
3632 W 10TH St
Greeley, CO 80634-1851
Phone
(970) 339-1825
Fax
(970) 339-1837
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Dr. Ana Lopez, OD
Title
Owner
Phone
(970) 339-1825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT 0002949 CO Primary

Addresses

Primary practice location

3632 W 10TH St
Greeley, CO 80634-1851

Mailing address

3632 W 10TH St
Greeley, CO 80634-1851
Phone (970) 339-1825

Other identifiers 1

IdentifierTypeStateIssuer
61988529MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Greeley Eye Doctors2 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.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1013468578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806341851",
            "telephone_number": "970-339-1825",
            "fax_number": "970-339-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806341851",
            "telephone_number": "970-339-1825",
            "fax_number": "970-339-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREELEY EYE DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2022-05-04",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-339-1825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT 0002949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61988529",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.