Organization Active NPI

Visionzone LLC

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1255719043
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2854 Issued in CO
Legal business name
VISIONZONE LLC
Practice address
383 W Drake Rd Ste 103
Fort Collins, CO 80526-2884
Phone
(970) 223-8687
NPI assigned
May 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Dr. Paul Neville, O.D.
Title
Optometrist
Phone
(719) 314-5431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2854 CO Primary

Addresses

Primary practice location

383 W Drake Rd Ste 103
Fort Collins, CO 80526-2884

Mailing address

6468 Richland Ave
Timnath, CO 80547-2515
Phone (719) 314-5431

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1255719043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6468 RICHLAND AVE",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805472515",
            "telephone_number": "719-314-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 W DRAKE RD STE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262884",
            "telephone_number": "970-223-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONZONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "NEVILLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "719-314-5431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.