Individual provider Active NPI

Amy C. Cecil, O.D.

  • Vision Therapy Optometrist
  • Basalt, CO
National Provider Identifier
1215925565
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
1261 Issued in CO
Practice address
100 Elk Run Dr
Suite 206
Basalt, CO 81621-9205
Phone
(970) 927-5107
Fax
(970) 927-5108
NPI assigned
Oct 11, 2005
Last updated
Jul 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 1261 CO Primary

Addresses

Primary practice location

100 Elk Run Dr
Suite 206
Basalt, CO 81621-9205

Mailing address

100 Elk Run Dr
Suite 206
Basalt, CO 81621-9205
Phone (970) 927-5107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080430000065 CO Practitioner - Optometry 3577642727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision Eye Care Group LLCGroup PAC ID 2163315854, 21 clinicians

Practice addresses (Care Compare)

10520 El Diente CT a
Icon Eyecare
Englewood, CO 80112-2656
Phone (720) 524-1001

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
88.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1261COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision Eye Care Group LLC Current Accepting new patients
Total Vision Eye Care Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Total Vision Eye Care Group LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

100 Elk Run Dr
Ste 206
Basalt, CO 81621
Phone (970) 256-0400

3900 E Mexico Ave
Ste 102
Denver, CO 80210
Phone (303) 800-2078

10520 El Diente Ct
Ste A
Englewood, CO 80112
Phone (720) 414-5310

1000 Wellington Ave
Ste A
Grand Junction, CO 81501
Phone (970) 256-0400

2515 Foresight Cir
Grand Junction, CO 81505
Phone (970) 766-8346

Interoperability endpoints

  • Direct secure messaging: amy.cecil.p5@direct.keec.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1215925565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELK RUN DR",
            "address_2": "SUITE 206",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816219205",
            "telephone_number": "970-927-5107",
            "fax_number": "970-927-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELK RUN DR",
            "address_2": "SUITE 206",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816219205",
            "telephone_number": "970-927-5107",
            "fax_number": "970-927-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "AMY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "1261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

Verify at the official NPI Registry.