Organization Active NPI

Visualeyes Eyecare, P.C.

  • Optometrist
  • Fruita, CO
National Provider Identifier
1386813889
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CO2351 Issued in CO
Legal business name
VISUALEYES EYECARE, P.C.
Practice address
332 E Aspen Ave Ste 100
Fruita, CO 81521-2204
Phone
(970) 858-2020
Fax
(970) 858-6601
NPI assigned
Feb 28, 2008
Last updated
Mar 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Dr. Gary N Quarnberg, O.D.NPI 1831172196
Title
President
Phone
(970) 858-2020

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CO2351 CO Primary

Addresses

Primary practice location

332 E Aspen Ave Ste 100
Fruita, CO 81521-2204

Mailing address

332 E Aspen Ave Ste 100
Fruita, CO 81521-2204
Phone (970) 858-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040524000219 CO Part B Supplier - Clinic/Group Practice 8729079157 Receives reassigned benefits from 3 practitioners
Practice locations: Grand Junction, CO; Fruita, CO

National Provider Directory

National Provider Directory

Locations

140 N Mesa St
#1
Fruita, CO 81521
Phone (970) 858-6600

2695 Patterson Rd
Ste 6A
Grand Junction, CO 81506
Phone (970) 858-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1386813889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 E ASPEN AVE STE 100",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212204",
            "telephone_number": "970-858-2020",
            "fax_number": "970-858-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E ASPEN AVE STE 100",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212204",
            "telephone_number": "970-858-2020",
            "fax_number": "970-858-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUALEYES EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "QUARNBERG",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-858-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO2351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruita, CO

Sources for this page

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

Verify at the official NPI Registry.