Organization Active NPI

Skyline Vision Optical

  • Eyewear Supplier
  • Canon City, CO
National Provider Identifier
1326345430
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SKYLINE VISION OPTICAL
Practice address
700 Main St
Canon City, CO 81212-3739
Phone
(719) 275-1523
Fax
(719) 275-6925
NPI assigned
Feb 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kim Stallman
Title
Office Manager
Phone
(719) 275-1523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X CO Primary

Addresses

Primary practice location

700 Main St
Canon City, CO 81212-3739

Mailing address

700 Main St
Canon City, CO 81212-3739
Phone (719) 275-1523

National Provider Directory

National Provider Directory
Tax ID family
Skyline Vision Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 Main St
Canon City, CO 81212
Phone (719) 275-1523

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": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326345430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123739",
            "telephone_number": "719-275-1523",
            "fax_number": "719-275-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123739",
            "telephone_number": "719-275-1523",
            "fax_number": "719-275-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE VISION OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STALLMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-275-1523"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CO",
            "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 Jul 21, 2022; 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.