Organization Active NPI

Cummings Vision Care PC

  • Optometrist
  • Woodland Park, CO
National Provider Identifier
1124083563
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1456 Issued in CO
Legal business name
CUMMINGS VISION CARE PC
Practice address
101 C Sundial Drive
Woodland Park, CO 80863-7769
Phone
(719) 684-5317
Fax
(719) 687-9308
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Thomas W. Cummings, ODNPI 1528274305
Title
Owner
Phone
(719) 684-5317

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT1456 CO Primary

Addresses

Primary practice location

101 C Sundial Drive
Woodland Park, CO 80863-7769

Mailing address

101 C Sundial Drive
Woodland Park, CO 80863-7769
Phone (719) 684-5317

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150501000020 CO Part B Supplier - Clinic/Group Practice 1052598604 Receives reassigned benefits from 3 practitioners
Practice locations: Woodland Park, CO

National Provider Directory

National Provider Directory

Locations

101 Sundial Dr
Ste C
Woodland Park, CO 80863
Phone (719) 687-3344

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1124083563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 C SUNDIAL DRIVE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808637769",
            "telephone_number": "719-684-5317",
            "fax_number": "719-687-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 C SUNDIAL DRIVE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808637769",
            "telephone_number": "719-684-5317",
            "fax_number": "719-687-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMMINGS VISION CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-684-5317",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT1456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.