Alison C. House, O.D., PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1360 Issued in CO

Legal business name

ALISON C. HOUSE, O.D., PC

Practice address

1821 Fortino Blvd
Pueblo, CO 81008-1892

Phone

(719) 583-0344

Fax

(719) 583-2806

NPI assigned

Aug 23, 2013

Organization subpart

No

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

Authorized official

Name

Alison C House, O.D.NPI 1821168790

Title

Optometrist/Owner

Phone

(719) 583-0344

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Alison C. House, OD

  • Optometrist
  • Pueblo, CO
  • NPI 1821168790

  O20100930015687

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alison C. House, OD

  • Optometrist
  • Pueblo, CO
  • NPI 1821168790

  CO, Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1275967416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 FORTINO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081892",
            "telephone_number": "719-583-0344",
            "fax_number": "719-583-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 FORTINO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081892",
            "telephone_number": "719-583-0344",
            "fax_number": "719-583-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISON C. HOUSE, O.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "719-583-0344",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1165600001",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Pueblo, CO
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.