NPIMap

Organization Active NPI

Vision Revision PC

  • Optometrist
  • Windsor, CO
National Provider Identifier
1194271965
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CO1983 Issued in CO
Legal business name
VISION REVISION PC
Practice address
1292 Main St Unit 3
Windsor, CO 80550-5965
Phone
(970) 686-6066
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Judith Groves, ODNPI 1902967623
Title
President/ Owner
Phone
(970) 686-6066

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 CO1983 CO Primary

Addresses

Primary practice location

1292 Main St Unit 3
Windsor, CO 80550-5965

Mailing address

1292 Main St #3
Windsor, CO 80550
Phone (970) 686-6066

National Provider Directory

National Provider Directory

Locations

1292 Main St
Unit 3
Windsor, CO 80550
Phone (970) 686-6066

Practitioners & affiliated clinicians

Practitioners 1

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": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1194271965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 MAIN ST #3",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "80550",
            "telephone_number": "970-686-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1292 MAIN ST UNIT 3",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505965",
            "telephone_number": "970-686-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION REVISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "970-686-6066",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO1983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.