Hero Vision of Greeley LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HERO VISION OF GREELEY LLC

Practice address

3485 W 10TH St Ste C
Greeley, CO 80634-5368

Phone

(970) 353-4746

NPI assigned

Nov 25, 2020

Organization subpart

Yes

Parent organization

HERO VISION OF GREELEY LLCAs reported in NPPES

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

Authorized official

Name

Shaun Urbanozo

Title

Credentialing Manager

Phone

(719) 323-2362

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adventure Vision Doing business as

Tax ID family

Hero Vision of Greeley LLC2 organizations share this tax ID, including this one

Part of

Hero Vision of Greeley LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hero Vision of Greeley LLC

  • Optometrist
  • Greeley, CO
  • NPI 1174734560
  NPD tax ID

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.

• Hero Vision of Greeley LLC

  • Optometrist
  • Greeley, CO
  • NPI 1174734560
  NPPES parent name

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1114521671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 W 10TH ST STE C",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345368",
            "telephone_number": "970-353-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO VISION OF GREELEY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERO VISION OF GREELEY LLC",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "URBANOZO",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-323-2362"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51623340",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Hernandez
• Norma Hernandez
• Rachel Hernandez
• Ulises Alejandro Hernandez, UNDERGRAD UNCO
• Valeria Hernandez
• Hero Vision of Greeley LLC
• Jordan Samantha Bell Herpich
• Jennifer Faye Herren
• Elena Viridiana Herrera
• Guadalupe I Herrera

• Optometrist in Greeley, CO
• Providers in Greeley, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.