Organization Active NPI

Eye Care Center of Northern Colorado

  • Ophthalmology Physician
  • Longmont, CO
National Provider Identifier
1134318421
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE CARE CENTER OF NORTHERN COLORADO
Practice address
1400 Dry Creek Dr
Longmont, CO 80503-6499
Phone
(303) 682-3382
Fax
(303) 682-3380
NPI assigned
Oct 23, 2007
Last updated
Feb 15, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
EYE CARE CENTER OF NORTHERN COLORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Jay Holms
Title
Ceo
Phone
(303) 772-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

1400 Dry Creek Dr
Longmont, CO 80503-6499

Mailing address

300 Exempla Cir
Ste 120
Lafayette, CO 80026-3397
Phone (303) 665-8766

National Provider Directory

National Provider Directory
Part of
Eye Care Center of N Co PC

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1134318421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EXEMPLA CIR",
            "address_2": "STE 120",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263397",
            "telephone_number": "303-665-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DRY CREEK DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036499",
            "telephone_number": "303-682-3382",
            "fax_number": "303-682-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE CENTER OF NORTHERN COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CARE CENTER OF NORTHERN COLORADO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "HOLMS",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-772-3300"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.