Organization Active NPI

Colorado West Ophthalmology Assoc. PC

  • Optometrist
  • Delta, CO
National Provider Identifier
1144815325
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COLORADO WEST OPHTHALMOLOGY ASSOC. PC
Practice address
1426 Mesa View Dr
Delta, CO 81416-2400
Phone
(970) 874-8821
Fax
(970) 874-3472
NPI assigned
Mar 9, 2021
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COLORADO WEST OPHTHALMOLOGY ASSOC. PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Leticia C Ware
Title
Administrative Assistant
Phone
(970) 249-1210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1426 Mesa View Dr
Delta, CO 81416-2400

Mailing address

1800 E Pavilion PL Unit B
Montrose, CO 81401-5499
Phone (970) 249-1210

Other identifiers 3

IdentifierTypeStateIssuer
CJ7703OtherCORAILROAD MEDICARE
9000132032MedicaidCO
98604OtherCOBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Co W Ophthalmology Assoc PC4 organizations share this tax ID, including this one
Part of
Co W Ophthalmology Assoc PC

Other organizations with this tax ID 3

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1144815325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E PAVILION PL UNIT B",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015499",
            "telephone_number": "970-249-1210",
            "fax_number": "970-249-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 MESA VIEW DR",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162400",
            "telephone_number": "970-874-8821",
            "fax_number": "970-874-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO WEST OPHTHALMOLOGY ASSOC. PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO WEST OPHTHALMOLOGY ASSOC. PC",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "970-249-1210"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ7703",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000132032",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "98604",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.