Organization Active NPI

Eye Center Optical of Northern Colorado LLC

  • Optometrist
  • Greeley, CO
National Provider Identifier
1245795533
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CENTER OPTICAL OF NORTHERN COLORADO LLC
Practice address
1701 61St Ave
Greeley, CO 80634-7989
Phone
(970) 825-7703
NPI assigned
Jan 31, 2019
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Cheryl Barber
Title
Provider Services Manager
Phone
(702) 212-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1701 61St Ave
Greeley, CO 80634-7989

Mailing address

1725 E Prospect Rd
Fort Collins, CO 80525-1307
Phone (970) 221-2222

National Provider Directory

National Provider Directory
Tax ID family
Eye Center Optical of Northern Colorado LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1245795533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251307",
            "telephone_number": "970-221-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 61ST AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347989",
            "telephone_number": "970-825-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER OPTICAL OF NORTHERN COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PROVIDER SERVICES MANAGER",
        "authorized_official_telephone_number": "702-212-2222"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.