Alpine Optical of Western Colorado LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

ALPINE OPTICAL OF WESTERN COLORADO LLC

Practice address

1424 Mesa View Dr
Delta, CO 81416

Phone

(970) 249-1186

Fax

(970) 249-1677

NPI assigned

Mar 14, 2012

Last updated

Mar 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth L Linenberger

Title

Managing Member

Phone

(970) 249-1186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Alpine Optical of Western Colorado LLC

  • Optician
  • Montrose, CO
  • NPI 1003990532

  9830210905

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Alpine Optical of Western Colorado LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Alpine Optical of Western Colorado LLC

  • Optician
  • Montrose, CO
  • NPI 1003990532
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shad Stephen Saunders, M.D.

  • Ophthalmology Physician
  • Montrose, CO
  • NPI 1760680581
  NPD (past)
• Bennett Jacob Oberg, D.O.

  • Ophthalmology Physician
  • Washington, DC
  • NPI 1336301902
  NPD (past)

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1124393723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 MESA VIEW DR",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "81416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 MESA VIEW DR",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "81416",
            "telephone_number": "970-249-1186",
            "fax_number": "970-249-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE OPTICAL OF WESTERN COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "LINENBERGER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "970-249-1186",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aerocare Holdings, Inc (Air Options)
• All American Families (Families Plus)
• Amos Counseling LLC (Delta Hangout)
• Shawna Angelo, OT
• Amber Angles, MD
• Walker Joe Anthony
• April D Christopherson Otr L LLC (Exploration Kids Therapy)

• Eyewear Supplier in Delta, CO
• Providers in Delta, CO by specialty
• Eyewear Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.