Dr Kevin Anderson & Associates, PC.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 1342 Issued in CO

Legal business name

DR KEVIN ANDERSON & ASSOCIATES, PC.

Doing business as

Village Optical

Practice address

4103 Boardwalk Dr
Suite 100
Fort Collins, CO 80525-5931

Phone

(970) 223-0592

Fax

(970) 377-1082

NPI assigned

Nov 28, 2007

Organization subpart

Yes

Parent organization

DR KEVIN ANDERSON & ASSOCIATES, PC.As reported in NPPES

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

Authorized official

Name

Ms. Debi Welborn

Title

Office Manager

Phone

(970) 223-0592

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Village Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Part of

Dr Kevin Anderson Associates PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dr Kevin Anderson & Associates, PC.

  • Optometrist
  • Aurora, CO
  • NPI 1720681265
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin John Anderson, OD

  • Corneal and Contact Management Optometrist
  • Ft Collins, CO
  • NPI 1447239736
  Medicare reassignment NPD

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1346422607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 BOARDWALK DR",
            "address_2": "SUITE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255931",
            "telephone_number": "970-223-0592",
            "fax_number": "970-377-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 BOARDWALK DR",
            "address_2": "SUITE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255931",
            "telephone_number": "970-223-0592",
            "fax_number": "970-377-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KEVIN ANDERSON & ASSOCIATES, PC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR KEVIN ANDERSON & ASSOCIATES, PC.",
        "enumeration_date": "2007-11-28",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "WELBORN",
        "authorized_official_first_name": "DEBI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-223-0592",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT 1342",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "CO1342",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD2107",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04011250",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlynn Doyle
• Edward Doyle
• Jessica Doyle, R.N.
• Laura Ann Doyle
• Dr Karen MD, PLLC
• Dr McIver MD PLLC
• Dr Ray Watson
• Dr. Frederick M. Blesch, DC PC
• Dr. Nicole Taylor-Irwin, PLLC
• Dr. Susan Kitchens, PHD, LLC

• Optometrist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.