Active NPI
Vision Eyeland Super Optical LLC
- Optometrist
- Fort Collins, CO
National Provider Identifier
1265623508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VISION EYELAND SUPER OPTICAL LLC
- Practice address
- 1820 S College Ave
Fort Collins, CO 80525-1423 - Phone
- (970) 493-6360
- NPI assigned
- Aug 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Torgerson, O.D.
- Title
- Optometrist
- Phone
- (970) 493-6360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1820 S College Ave
Fort Collins, CO 80525-1423
Mailing address
1820 S College Ave
Fort Collins, CO 80525-1423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01431072 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
1820 S College Ave
Fort Collins, CO 80525
Phone (970) 493-6360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205452800000",
"number": "1265623508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 S COLLEGE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805251423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 S COLLEGE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805251423",
"telephone_number": "970-493-6360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION EYELAND SUPER OPTICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-01",
"last_updated": "2008-03-14",
"status": "A",
"authorized_official_last_name": "TORGERSON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "970-493-6360",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01431072",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
- Kaitlin Jane Viola, PA
- Priscilla J. Virant, PA-C
- Virginia Vision Care Assoc., L.L.C.
- Amelia Elissa Virostko, MD
- Nikita T. Vischer, MD
- Vision Performance Center of Fort Collins, LLC
- Visionzone LLC
- Visiting Therapists, LLC
- Jennifer N. Vissers, REGISTERED DIETITION
- Vita Physical Therapy and Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.