Hero Vision of Commerce City LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HERO VISION OF COMMERCE CITY LLC

Practice address

6075 E Parkway Dr Ste 160
Commerce City, CO 80022-5413

Phone

(720) 795-7077

Fax

(719) 955-3470

NPI assigned

Jul 25, 2019

Organization subpart

No

Name

Shaun Urbanozo

Title

Credentialing Manager

Phone

(719) 576-1850

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Hero Vision of Commerce City LLC

  • Optometrist
  • Commerce City, CO
  • NPI 1982208435
  NPPES parent name

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

• Hero Vision of Commerce City LLC

  • Optometrist
  • Commerce City, CO
  • NPI 1982208435
  NPD tax ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madison Beagley, OD

  • Optometrist
  • Commerce City, CO
  • NPI 1982395059
  NPD
• Michael Holmberg, DDS

  • Dentist
  • Commerce City, CO
  • NPI 1184007221
  NPD

Tax ID family

Hero Vision of Commerce City LLC (2 organizations share this tax ID)

Locations

• Adventure Dental and Vision Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2020.

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1154975472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850",
            "fax_number": "719-955-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 E PARKWAY DR STE 160",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800225413",
            "telephone_number": "720-795-7077",
            "fax_number": "719-955-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO VISION OF COMMERCE CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "URBANOZO",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-576-1850"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPT.0001462",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Dental and Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adventure Dental and Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincent Her
• Elide Hernandez, PTA
• Miguel Angel Hernandez, PT, DPT
• Hero Dental of Commerce City PC
• Hero Dental of Commerce City PC
• Hero Vision of Commerce City LLC
• Amber Nicole Herring, LMFT, LAC
• Rebekah Hershey
• Tcua Mindy Heu
• High Plains Eye Care Inc

• All providers in Commerce City, CO
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.