NPIMap

Organization Active NPI

Vista Eye Care, PC

  • Optometrist
  • Thornton, CO
National Provider Identifier
1326360900
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2712 Issued in CO
Legal business name
VISTA EYE CARE, PC
Practice address
13695 Colorado Blvd
Thornton, CO 80602-7051
Phone
(303) 450-2020
NPI assigned
Feb 23, 2010
Last updated
Nov 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Dr. Brian Christopher Abert, O.D.NPI 1134383094
Title
Optometrist, President
Phone
(303) 450-2020

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
Optometrist 152W00000X 2712 CO Primary

Addresses

Primary practice location

13695 Colorado Blvd
Thornton, CO 80602-7051

Mailing address

13695 Colorado Blvd
Thornton, CO 80602-7051
Phone (303) 450-2020

Other identifiers 1

IdentifierTypeStateIssuer
42174287MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100812000515 CO Part B Supplier - Clinic/Group Practice 8123152113 Receives reassigned benefits from 9 practitioners
Practice locations: Thornton, CO

National Provider Directory

National Provider Directory

Locations

13695 Colorado Blvd
Thornton, CO 80602
Phone (303) 450-2020

4243 E 136th Ave
Unit 342
Thornton, CO 80602
Phone (303) 450-2020

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1326360900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13695 COLORADO BLVD",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027051",
            "telephone_number": "303-450-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13695 COLORADO BLVD",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027051",
            "telephone_number": "303-450-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA EYE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "ABERT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OPTOMETRIST, PRESIDENT",
        "authorized_official_telephone_number": "303-450-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42174287",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.