Southern Colorado Family Eye Care, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-2215 Issued in CO

Legal business name

SOUTHERN COLORADO FAMILY EYE CARE, PC

Practice address

6310 S US Highway 85-87
Fountain, CO 80817-1006

Phone

(719) 391-2317

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jiro Kameoka, O.D.

Title

President

Phone

(719) 391-2317

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1124083977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 S BEAR PAW LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 S US HIGHWAY 85-87",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171006",
            "telephone_number": "719-391-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COLORADO FAMILY EYE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "KAMEOKA",
        "authorized_official_first_name": "JIRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-391-2317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT-2215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47209771",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brande Nicole Sims, IDMT
• Maggie Mae Smidt
• Smile Doctors of Colorado, P.C.
• Andrea Smith, DDS
• Samantha Snyder, PSY. D.
• Southern Colorado Family Eye Care, PC
• Southern Colorado Joint Ventures LLC
• Malory Kay Splawn, FNP-C
• Springs Medical Ride LLC
• Chelsea Staver, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.