Virginia Vision Care Assoc., L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003092 Issued in CO

Legal business name

VIRGINIA VISION CARE ASSOC., L.L.C.

Practice address

365 N Telluride St
Buckley Afb, CO 80011-7809

Phone

(720) 767-1907

Fax

(303) 366-1733

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ewing R McClelland, O.D.

Title

Optometrist/Sole Member

Phone

(720) 767-1907

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1053621367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BISHOP ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805211707",
            "telephone_number": "720-767-1907",
            "fax_number": "303-366-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 N TELLURIDE ST",
            "city": "BUCKLEY AFB",
            "state": "CO",
            "postal_code": "800117809",
            "telephone_number": "720-767-1907",
            "fax_number": "303-366-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA VISION CARE ASSOC., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAND",
        "authorized_official_first_name": "EWING",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST/SOLE MEMBER",
        "authorized_official_telephone_number": "720-767-1907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Nicole Rodgers, LCSW
• Alexander Rodriguez
• Nicole Lynn Spesard Langfield, PMHNP
• Arcie Villanueva, NP
• Meagan Elizabeth Vincenz, LCSW
• Lindsey Voncannon, M.D.

• Optometrist in Buckley Afb, CO
• Providers in Buckley Afb, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.