Organization Active NPI

Eye Center Optical of Northern Colorado LLC

  • Optometrist
  • Wheat Ridge, CO
National Provider Identifier
1023763968
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CENTER OPTICAL OF NORTHERN COLORADO LLC
Practice address
4855 Ward Rd
Wheat Ridge, CO 80033-1951
Phone
(303) 467-0502
Fax
(303) 467-0500
NPI assigned
Feb 18, 2022
Last updated
Mar 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Mrs. Cheryl Barber
Title
Provider Services Manager
Phone
(970) 221-2222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Ophthalmology Physician 207W00000X NU

Addresses

Primary practice location

4855 Ward Rd
Wheat Ridge, CO 80033-1951

Mailing address

1725 E Prospect Rd
Fort Collins, CO 80525-1307
Phone (970) 221-2222

National Provider Directory

National Provider Directory
Tax ID family
Eye Center Optical of Northern Colorado LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

4855 Ward Rd
Wheat Ridge, CO 80033
Phone (303) 467-0500

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1023763968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251307",
            "telephone_number": "970-221-2222",
            "fax_number": "970-837-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 WARD RD",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331951",
            "telephone_number": "303-467-0502",
            "fax_number": "303-467-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER OPTICAL OF NORTHERN COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PROVIDER SERVICES MANAGER",
        "authorized_official_telephone_number": "970-221-2222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.