Organization Active NPI

Eyesight LLC

  • Optometrist
  • Westminster, CO
National Provider Identifier
1184334518
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYESIGHT LLC
Practice address
5191 W 112TH Ave Ste 100
Westminster, CO 80031-2178
Phone
(720) 355-2131
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Ryan SmedleyNPI 1194936401
Title
Manager
Phone
(303) 875-9584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5191 W 112TH Ave Ste 100
Westminster, CO 80031-2178

Mailing address

5191 W 112TH Ave Ste 100
Westminster, CO 80031-2178
Phone (720) 355-2131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230118001222 CO Part B Supplier - Clinic/Group Practice 0345611935 Receives reassigned benefits from 2 practitioners
Practice locations: Westminster, CO

National Provider Directory

National Provider Directory

Locations

5191 W 112th Ave
Ste 100
Westminster, CO 80031
Phone (303) 635-3937

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1184334518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 W 112TH AVE STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312178",
            "telephone_number": "720-355-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5191 W 112TH AVE STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312178",
            "telephone_number": "720-355-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-27",
        "status": "A",
        "authorized_official_last_name": "SMEDLEY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-875-9584"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.