Organization Active NPI

Western Rockies Eye Center PC

  • Ophthalmology Physician
  • Grand Junction, CO
National Provider Identifier
1154459675
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WESTERN ROCKIES EYE CENTER PC
Practice address
2460 Patterson Rd Unit 2
Grand Junction, CO 81505-1027
Phone
(197) 026-1545
Fax
(970) 245-4936
NPI assigned
Feb 28, 2007
Last updated
Aug 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Ms. Kim Coleman
Title
Bookkeeper
Phone
(970) 243-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X CO Primary

Addresses

Primary practice location

2460 Patterson Rd Unit 2
Grand Junction, CO 81505-1027

Mailing address

2460 Patterson Rd Unit 2
Grand Junction, CO 81505-1027
Phone (970) 243-9000

Other identifiers 1

IdentifierTypeStateIssuer
04661047MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040311001374 CO Part B Supplier - Clinic/Group Practice 4183513757 Receives reassigned benefits from 3 practitioners
Practice locations: Grand Junction, CO
O20100930039119 CO DME Supplier - Physician - OphthalmologyDME Supplier - Optician 4183513757 Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Locations

1000 Wellington Ave
Grand Junction, CO 81501
Phone (970) 243-9000

471 S Main St
Moab, UT 84532
Phone (970) 243-9000

Practitioners & affiliated clinicians

Practitioners 3

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1154459675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 PATTERSON RD UNIT 2",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051027",
            "telephone_number": "970-243-9000",
            "fax_number": "970-245-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 PATTERSON RD UNIT 2",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051027",
            "telephone_number": "197-026-1545",
            "fax_number": "970-245-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ROCKIES EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "970-243-9000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04661047",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.