Organization Active NPI

Eddington Eyecare, PC

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1295024545
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2786 Issued in CO
Legal business name
EDDINGTON EYECARE, PC
Practice address
6130 Barnes Rd Ste 128
Colorado Springs, CO 80922-2601
Phone
(719) 550-4234
Fax
(719) 570-6055
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Dr. Richard Gene Eddington, O.D.NPI 1538131792
Title
Owner
Phone
(719) 550-4234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2786 CO Primary

Addresses

Primary practice location

6130 Barnes Rd Ste 128
Colorado Springs, CO 80922-2601

Mailing address

6130 Barnes Rd Ste 128
Colorado Springs, CO 80922-2601
Phone (719) 550-4234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000027 CO Part B Supplier - Clinic/Group Practice 3779769609 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

6130 Barnes Rd
Ste 128
Colorado Springs, CO 80922
Phone (719) 550-4234

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1295024545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 BARNES RD STE 128",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222601",
            "telephone_number": "719-550-4234",
            "fax_number": "719-570-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 BARNES RD STE 128",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222601",
            "telephone_number": "719-550-4234",
            "fax_number": "719-570-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDINGTON EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "EDDINGTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-550-4234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.