Organization Active NPI

Colorado Vision

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1043946643
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COLORADO VISION
Practice address
7190 N Academy Blvd
Colorado Springs, CO 80920-3185
Phone
(719) 559-2020
Fax
(719) 632-6088
NPI assigned
Jul 26, 2022
Organization subpart
Yes
Parent organization
COLORADO VISIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Blake Simmons, ODNPI 1003909482
Title
OD/Owner
Phone
(719) 599-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

7190 N Academy Blvd
Colorado Springs, CO 80920-3185

Mailing address

320 E Fontanero St Ste 201
Colorado Springs, CO 80907-7525
Phone (719) 559-2020

National Provider Directory

National Provider Directory
Part of
Colorado Vision

Locations

320 E Fontanero St
Ste 201
Colorado Springs, CO 80907
Phone (719) 559-2020

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1043946643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E FONTANERO ST STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077525",
            "telephone_number": "719-559-2020",
            "fax_number": "719-632-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7190 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203185",
            "telephone_number": "719-559-2020",
            "fax_number": "719-632-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO VISION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO VISION",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "719-599-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.