HV Pueblo South LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HV PUEBLO SOUTH LLC

Practice address

1725 S Pueblo Blvd
Pueblo, CO 81005-2103

Phone

(719) 281-2633

NPI assigned

Nov 25, 2020

Organization subpart

Yes

Parent organization

HV PUEBLO SOUTHAs reported in NPPES

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

Authorized official

Name

Shaun Urbanozo

Title

Credentialing Manager

Phone

(719) 323-2362

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Academy Kids Vision Doing business as

Tax ID family

HV Pueblo South LLC2 organizations share this tax ID, including this one

Part of

HV Pueblo South LLC

Other organizations with this tax ID 1

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

• HV Pueblo South LLC

  • Clinic/Center
  • Pueblo, CO
  • NPI 1700247228
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• HV Pueblo South LLC

  • Clinic/Center
  • Pueblo, CO
  • NPI 1700247228
  NPPES parent name

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1033713599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052103",
            "telephone_number": "719-281-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HV PUEBLO SOUTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HV PUEBLO SOUTH",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "URBANOZO",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-323-2362"
    },
    "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": "68820071",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Academy Kids Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Hurt
• Michael Anthony Hurtado, D.D.S.
• Rhiannon Huskin, MA, CCC-SLP
• Andrea Hutchens
• Tracy Huynh, DO
• HV Pueblo South LLC
• Penelope Hyland
• Bryan A Hynes, M.D.
• Bailey Iannolo
• Georgette Ibanez

• Optometrist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.