NPIMap

Organization Active NPI

CCC Optical PC

  • Optometrist
  • Pagosa Springs, CO
National Provider Identifier
1194713057
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1409 Issued in CO
Legal business name
CCC OPTICAL PC
Practice address
190 Talisman Dr
Suite B4
Pagosa Springs, CO 81147-9171
Phone
(970) 731-4347
NPI assigned
Oct 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Craig L Nelson, DOCTOR/ODNPI 1578707493
Title
Doctor/Optometrist
Phone
(719) 589-9066

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 1409 CO Primary

Addresses

Primary practice location

190 Talisman Dr
Suite B4
Pagosa Springs, CO 81147-9171

Mailing address

2509 Main St
Alamosa, CO 81101-2239
Phone (719) 589-9066

Other names 1

  • Point of View Eyecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CCC Optical PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

190 Talisman Dr
Unit B4
Pagosa Springs, CO 81147
Phone (970) 731-4347

Practitioners & affiliated clinicians

Practitioners 4

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": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194713057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 MAIN ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012239",
            "telephone_number": "719-589-9066",
            "fax_number": "719-589-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 TALISMAN DR",
            "address_2": "SUITE B4",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479171",
            "telephone_number": "970-731-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCC OPTICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR/OPTOMETRIST",
        "authorized_official_telephone_number": "719-589-9066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR/OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Point of View Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pagosa Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.