NPIMap

Organization Active NPI

Precision Family Eyecare PC

  • Corneal and Contact Management Optometrist
  • Johnstown, CO
National Provider Identifier
1053356543
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2410 Issued in CO
Legal business name
PRECISION FAMILY EYECARE PC
Practice address
257 Johnstown Center Dr
Suite 107
Johnstown, CO 80534-9073
Phone
(970) 587-0827
NPI assigned
Jun 18, 2006
Last updated
Nov 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Grant Schaneman, O.D.NPI 1922058833
Title
President
Phone
(970) 587-0827

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
Corneal and Contact Management Optometrist 152WC0802X 2410 CO Primary

Addresses

Primary practice location

257 Johnstown Center Dr
Suite 107
Johnstown, CO 80534-9073

Mailing address

257 Johnstown Center Dr
Suite 107
Johnstown, CO 80534-9073
Phone (970) 587-0827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060808000541 CO Part B Supplier - Clinic/Group Practice 1153324371 Receives reassigned benefits from 1 practitioner
Practice locations: Johnstown, CO

National Provider Directory

National Provider Directory

Locations

16 N Parish Ave
Johnstown, CO 80534
Phone (970) 587-0827

257 Johnstown Center Dr
Unit 107
Johnstown, CO 80534
Phone (816) 806-1664

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1053356543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 JOHNSTOWN CENTER DR",
            "address_2": "SUITE 107",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805349073",
            "telephone_number": "970-587-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 JOHNSTOWN CENTER DR",
            "address_2": "SUITE 107",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805349073",
            "telephone_number": "970-587-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION FAMILY EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "SCHANEMAN",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-587-0827",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "2410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.