Active NPI
3D Vision, Inc
- Optometrist
- Colorado City, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- 3D VISION, INC
- Practice address
- 4491 Bent Brothers Blvd
Suite B
Colorado City, CO 81019 - Phone
- (719) 676-2100
- NPI assigned
- Jun 2, 2022
- Last updated
- Dec 4, 2025
- Organization subpart
- Yes
- Parent organization
- 3D VISION INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenni Corinne Drake
- Title
- Owner
- Phone
- (719) 676-2100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
4491 Bent Brothers Blvd
Suite B
Colorado City, CO 81019
Mailing address
PO Box 20015
Colorado City, CO 81019-2015
Phone (719) 676-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41932064 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- 3D Vision Inc
- Part of
- 3D Vision Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Pueblo, CO
- NPI 1053541854
-
- Optometrist
- Pueblo, CO
- NPI 1881063303
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.
-
- Optometrist
- Pueblo, CO
- NPI 1053541854
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Pueblo, CO
- NPI 1629278049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764806400000",
"number": "1043959430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20015",
"city": "COLORADO CITY",
"state": "CO",
"postal_code": "810192015",
"telephone_number": "719-676-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4491 BENT BROTHERS BLVD",
"address_2": "SUITE B",
"city": "COLORADO CITY",
"state": "CO",
"postal_code": "81019",
"telephone_number": "719-676-2100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "3D VISION, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "3D VISION INC",
"enumeration_date": "2022-06-02",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A",
"authorized_official_last_name": "DRAKE",
"authorized_official_first_name": "JENNI",
"authorized_official_middle_name": "CORINNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-676-2100"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41932064",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.