Southwest Eye Consultants PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SOUTHWEST EYE CONSULTANTS PLLC

Practice address

1266 Escalante Dr Ste 301
Durango, CO 81303-8934

Phone

(970) 828-2200

Fax

(970) 828-2200

NPI assigned

Aug 28, 2020

Last updated

Oct 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Catalano

Title

Director of Finance

Phone

(970) 828-4104

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, NM2 enrollments

Enrollment records 2

Locations

Practitioners 10

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.

• Brian D Baxter, O.D.

  • Optometrist
  • Durango, CO
  • NPI 1831126697

  NM

  Medicare reassignment Care Compare group
• Kiley Ann Berry, OD

  • Optometrist
  • Durango, CO
  • NPI 1669638011

  NM

  Medicare reassignment Care Compare group
• Cameron Levi Clarke, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Durango, CO
  • NPI 1952894966

  NM

  Medicare reassignment Care Compare group
• Moss Jacob Fenberg, MD

  • Retina Specialist (Ophthalmology) Physician
  • Durango, CO
  • NPI 1396852943

  NM

  Medicare reassignment Care Compare group
• Grant Gebhard

  • Ophthalmology Physician
  • Durango, CO
  • NPI 1164817821

  NM

  Medicare reassignment Care Compare group
• Sara Joy Haug, MD, PHD

  • Retina Specialist (Ophthalmology) Physician
  • Durango, CO
  • NPI 1871820837

  NM

  Medicare reassignment Care Compare group
• Scott D Allen, MD

  • Ophthalmology Physician
  • Farmington, NM
  • NPI 1275590754
  Medicare reassignment Care Compare group
• Ian Thorsten Kirste, O.D.

  • Optometrist
  • Aztec, NM
  • NPI 1770546657
  Medicare reassignment Care Compare group
• Ha Thi Kim Huynh, OD

  • Optometrist
  • Durango, CO
  • NPI 1558542563

  NM

  Medicare reassignment
• Deidre St Peter, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Denver, CO
  • NPI 1871948612

  NM

  Medicare reassignment

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1386257475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 ESCALANTE DR STE 301",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038934",
            "telephone_number": "970-828-2200",
            "fax_number": "505-326-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 ESCALANTE DR STE 301",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038934",
            "telephone_number": "970-828-2200",
            "fax_number": "970-828-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 E 30th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874018990",
            "country_code": "US",
            "telephone_number": "505-325-5021",
            "fax_number": "505-326-4691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Sligo St",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "813212924",
            "country_code": "US",
            "telephone_number": "970-828-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHWEST EYE CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "CATALANO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "970-828-4104",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Diagnostic Laboratories PC
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• Southwest Emergency Physicians, PC
• Southwest Endoscopy Center
• Southwest Endoscopy Partners LLC
• Southwest Foot and Ankle PC
• Southwest Midwives, Inc
• Southwest Oncology PC
• Southwest Retina Consultants PC
• Southwest Retina Research Center, LLC (Southwest Retina Research Center)

• Ophthalmology Physician in Durango, CO
• Providers in Durango, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.