Organization Active NPI

North Park Vision Center, P.C.

  • Health Maintenance Organization
  • Westminster, CO
National Provider Identifier
1346326626
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
OPT-1240 Issued in CO
Legal business name
NORTH PARK VISION CENTER, P.C.
Practice address
10359 Federal Blvd Ste 100
Westminster, CO 80260-7453
Phone
(303) 469-7770
Fax
(303) 469-7772
NPI assigned
Oct 28, 2006
Last updated
Mar 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Dr. Marcy Rose, O.D.NPI 1568580421
Title
President
Phone
(303) 469-7770

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
Health Maintenance Organization 302R00000X OPT-1240 CO Primary

Addresses

Primary practice location

10359 Federal Blvd Ste 100
Westminster, CO 80260-7453

Mailing address

10359 Federal Blvd Ste 100
Westminster, CO 80260-7453
Phone (303) 469-7770

Other identifiers 3

IdentifierTypeStateIssuer
OPT-1895OtherCOLICENSE # CHRISTINE BEST
OPT-1572OtherCOLICENSE # T. VAN WILSON
OPT-1240OtherCOLICENSE # MARCY ROSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050210000309 CO Part B Supplier - Clinic/Group Practice 3476504168 Receives reassigned benefits from 3 practitioners
Practice locations: Westminster, CO

National Provider Directory

National Provider Directory

Locations

10359 Federal Blvd
Ste 100
Westminster, CO 80260
Phone (303) 428-7231

Practitioners & affiliated clinicians

Practitioners 4

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": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1346326626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10359 FEDERAL BLVD STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802607453",
            "telephone_number": "303-469-7770",
            "fax_number": "303-469-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10359 FEDERAL BLVD STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802607453",
            "telephone_number": "303-469-7770",
            "fax_number": "303-469-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PARK VISION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-469-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": "OPT-1240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # CHRISTINE BEST",
            "identifier": "OPT-1895",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # T. VAN WILSON",
            "identifier": "OPT-1572",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # MARCY ROSE",
            "identifier": "OPT-1240",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.