Innovative Eye Care LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

30773 Issued in CO

Legal business name

INNOVATIVE EYE CARE LLC

Practice address

21 Kings Crossing Rd
Ste 201
Winter Park, CO 80482

Phone

(970) 749-4471

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

John Parkinson

Title

Director

Phone

(970) 749-4471

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1063804102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 WYNKOOP ST",
            "address_2": "APT 404",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 KINGS CROSSING RD",
            "address_2": "STE 201",
            "city": "WINTER PARK",
            "state": "CO",
            "postal_code": "80482",
            "telephone_number": "970-749-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "PARKINSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-749-4471"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "30773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Eichenseher
• April Starr Ensor, LMT
• Hannah Marie Foley, FNP
• Catherine Connell Hankla, DO
• Cindy Harrison
• Jessica R Stern MD LLC
• Anna Johanson, MD
• James Gray Kennedy, M.D.
• Keysdentalco., PLLC WP
• Jessica Luree Klabak, D.D.S.

• Ophthalmology Physician in Winter Park, CO
• Providers in Winter Park, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.