Organization Active NPI

Valley Vision Center, Inc.

  • Optician
  • Grand Junction, CO
National Provider Identifier
1336241827
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
VALLEY VISION CENTER, INC.
Practice address
950 North Ave Ste 106
Grand Junction, CO 81501-3259
Phone
(970) 245-7850
Fax
(970) 242-0281
NPI assigned
Sep 4, 2006
Last updated
Oct 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Dr. Andrew John McKenzie, O.D.NPI 1629170113
Title
Secretary/Treasurer
Phone
(970) 245-7850

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
Optician 156FX1800X Primary

Addresses

Primary practice location

950 North Ave Ste 106
Grand Junction, CO 81501-3259

Mailing address

950 North Ave Ste 106
Grand Junction, CO 81501-3259
Phone (970) 245-7850

Other identifiers 1

IdentifierTypeStateIssuer
DD8748OtherCORAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050613000186 CO Part B Supplier - Clinic/Group Practice 1456395359 Receives reassigned benefits from 7 practitioners
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Locations

1144 N 12th St
Grand Junction, CO 81501
Phone (970) 242-3443

950 North Ave
Ste 106
Grand Junction, CO 81501
Phone (970) 242-0222

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1336241827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 NORTH AVE STE 106",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013259",
            "telephone_number": "970-245-7850",
            "fax_number": "970-242-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 NORTH AVE STE 106",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013259",
            "telephone_number": "970-245-7850",
            "fax_number": "970-242-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "970-245-7850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD8748",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.