NPIMap

Organization Active NPI

Eye Care Associates of Co LLC

  • Optometrist
  • Greeley, CO
National Provider Identifier
1033932140
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CARE ASSOCIATES OF CO LLC
Practice address
3545 W 12TH St Ste 101
Greeley, CO 80634-2545
Phone
(970) 352-4200
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Marquetta Shonta Latimore
Title
Credentialing Manager
Phone
(515) 771-3757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3545 W 12TH St Ste 101
Greeley, CO 80634-2545

Mailing address

230 Kings Hwy E Ste 333
Haddonfield, NJ 08033-1907

National Provider Directory

National Provider Directory
Tax ID family
Eye Care Associates of Co33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1033932140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 KINGS HWY E STE 333",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 W 12TH ST STE 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342545",
            "telephone_number": "970-352-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "LATIMORE",
        "authorized_official_first_name": "MARQUETTA",
        "authorized_official_middle_name": "SHONTA",
        "authorized_official_title_or_position": "CREDENTIALING  MANAGER",
        "authorized_official_telephone_number": "515-771-3757"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 6, 2024; 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.