Active NPI
Skyline Vision Optical LLC
- Eyewear Supplier
- Canon City, CO
National Provider Identifier
1316497456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SKYLINE VISION OPTICAL LLC
- Practice address
- 2776 E Main St
Canon City, CO 81212-4010 - Phone
- (719) 275-1523
- Fax
- (719) 275-6925
- NPI assigned
- Oct 13, 2016
- 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
- Ashley Harmon
- Title
- Director
- Phone
- (719) 630-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
2776 E Main St
Canon City, CO 81212-4010
Mailing address
2776 E Main St
Canon City, CO 81212-4010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170414000141 | CO | DME Supplier - Physician - Optometrist | 6901182500 | Practice locations: Canon City, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Skyline Vision Optical | Prosthetic Lenses: Conventional Eyeglasses | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Skyline Vision Optical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Canon City, CO
- NPI 1326345430
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Colorado Springs, CO
- NPI 1538180146
-
- Specialist
- Colorado Springs, CO
- NPI 1952364325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486944000000",
"number": "1316497456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2776 E MAIN ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812124010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2776 E MAIN ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812124010",
"telephone_number": "719-275-1523",
"fax_number": "719-275-6925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLINE VISION OPTICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-13",
"last_updated": "2017-02-13",
"status": "A",
"authorized_official_last_name": "HARMON",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "719-630-3937"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.