Monte Vista Eye Care Center Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

990 Issued in CO

Legal business name

MONTE VISTA EYE CARE CENTER INC.

Practice address

101 Chico CT
Monte Vista, CO 81144-1067

Phone

(719) 852-3412

Fax

(719) 852-3345

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul William Heersink, O.D.NPI 1750367231

Title

President

Phone

(719) 852-3412

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

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

• Paul William Heersink, O.D.

  • Optometrist
  • Monte Vista, CO
  • NPI 1750367231
  Medicare reassignment Care Compare group NPD Authorized official
• Joshua Paul Heersink, OD

  • Optometrist
  • Monte Vista, CO
  • NPI 1538646468
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1184747230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHICO CT",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441067",
            "telephone_number": "719-852-3412",
            "fax_number": "719-852-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHICO CT",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441067",
            "telephone_number": "719-852-3412",
            "fax_number": "719-852-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE VISTA EYE CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "HEERSINK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-852-3412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08009904",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Jake Mellott, PT
• Mark J Mills, D.D.S.
• Monte Vista Community Ambulance Service
• Monte Vista Community Ambulance Service
• Monte Vista Estates, LLC
• Monte Vista Family Practice
• Monte Vista Investors, LLC
• MVPS LLC
• MVPS LLC
• Janice Janae Naranjo, LPC

• Optometrist in Monte Vista, CO
• Providers in Monte Vista, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.