Amy C. Cecil, O.D.
Individual provider Active NPI Vision Therapy Optometrist · Basalt, CO
NPI 1215925565 · NPPES record last updated Jul 29, 2008
Key facts
- NPI
- 1215925565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vision Therapy Optometrist 152WV0400X
- License
- 1261 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- 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 LLC
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 100
- Quality
- 88.72
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080430000065 | CO | Practitioner - Optometry | 3577642727 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1261 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vision Eye Care Group LLC | Current |
Accepting new patients | |
| Total Vision Eye Care Group, LLC | Current |
Accepting new patients | |
| Total Vision Eye Care Group LLC | Current | 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
- amy.cecil.p5@direct.keec.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 1261 | CO | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52027732 | Medicaid | CO |
Other providers in Basalt, CO
- Jeanette Bullock
- Cali Corp
- Jillian Leigh Cameron
- Rachel Cherie Carey
- Joey Carlson
- Jay Clayton
- Colorado Surgical Service PC
- Colorado West Regional Mental Health Inc.
- Michelle Coombs
- Carra Rose Croucher
All providers in Basalt, CO · Vision Therapy Optometrist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.