Active NPI
Chapel Hills Vision P C
- Optometrist
- Colorado Springs, CO
National Provider Identifier
1336134683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CHAPEL HILLS VISION P C
- Practice address
- 2438 Research Pkwy Ste 200
Colorado Springs, CO 80920 - Phone
- (719) 599-5083
- Fax
- (719) 599-3291
- NPI assigned
- Sep 13, 2005
- 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
- Tammy Taylor
- Title
- Office Manager
- Phone
- (719) 599-5083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CO | Primary |
Addresses
Primary practice location
2438 Research Pkwy Ste 200
Colorado Springs, CO 80920
Mailing address
2438 Research Pkwy Ste 200
Colorado Springs, CO 80920-1094
Phone (719) 599-5083
Other practice location 1
1860 Woodmoor Dr
Suite 103
Monument, CO 80132-9093
Phone (719) 488-2042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04005476 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040322000276 | CO | Part B Supplier - Clinic/Group Practice | 0042101081 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Colorado Springs, CO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Colorado Springs, CO
- NPI 1992763403
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- Optometrist
- Colorado Springs, CO
- NPI 1306906771
-
- Optometrist
- Colorado Springs, CO
- NPI 1497031124
-
- Optometrist
- Colorado Springs, CO
- NPI 1295720514
-
- Optometrist
- Colorado Springs, CO
- NPI 1730174079
-
- Optometrist
- Colorado Springs, CO
- NPI 1730165275
-
- Optometrist
- Colorado Springs, CO
- NPI 1992790216
-
- Optometrist
- Colorado Springs, CO
- NPI 1063073245
-
- Optometrist
- Monument, CO
- NPI 1881689198
-
- Optometrist
- Monument, CO
- NPI 1306253646
-
- Optometrist
- Colorado Springs, CO
- NPI 1336711662
-
- Optometrist
- Colorado Springs, CO
- NPI 1720073968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528243200000",
"number": "1336134683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2438 RESEARCH PKWY STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201094",
"telephone_number": "719-599-5083",
"fax_number": "719-599-3291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2438 RESEARCH PKWY STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80920",
"telephone_number": "719-599-5083",
"fax_number": "719-599-3291"
}
],
"practiceLocations": [
{
"address_1": "1860 Woodmoor Dr",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Monument",
"state": "CO",
"postal_code": "801329093",
"country_code": "US",
"telephone_number": "719-488-2042",
"fax_number": "719-488-0965",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHAPEL HILLS VISION P C",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-13",
"last_updated": "2018-06-06",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "TAMMY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "719-599-5083"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04005476",
"state": "CO"
}
],
"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 Jun 6, 2018; 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.