Organization Active NPI

TCC Optometry Inc

Doing business as Heritage Vision Clinic

  • Optometrist
  • Lakewood, CO
National Provider Identifier
1205390101
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TCC OPTOMETRY INC
Doing business as
Heritage Vision Clinic
Practice address
230 S Holland St
Lakewood, CO 80226-2837
Phone
(303) 431-8887
Fax
(303) 431-8992
NPI assigned
Jan 24, 2019
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Dr. Ty Clase, O.D.NPI 1699144790
Title
President
Phone
(303) 431-8887

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

230 S Holland St
Lakewood, CO 80226-2837

Mailing address

230 S Holland St
Lakewood, CO 80226-2837
Phone (303) 431-8887

Other names 1

  • Heritage Vision Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190226000077 CO Part B Supplier - Clinic/Group Practice 5395084065 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, CO

National Provider Directory

National Provider Directory

Locations

1780 Kipling St
Lakewood, CO 80215

230 S Holland St
Lakewood, CO 80226
Phone (303) 431-8887

6280 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 431-8887

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1205390101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S HOLLAND ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262837",
            "telephone_number": "303-431-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S HOLLAND ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262837",
            "telephone_number": "303-431-8887",
            "fax_number": "303-431-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCC OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "CLASE",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-431-8887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.