Sowash Optometry Group PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SOWASH OPTOMETRY GROUP PC

Doing business as

Visionworks

Practice address

2407 S College Ave
Unit 300
Fort Collins, CO 80525-1773

Phone

(970) 484-3787

Fax

(970) 484-0133

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Tom Sowash, OD

Title

Owner

Phone

(720) 962-6906

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Visionworks Doing business as

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1396761540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HOUSTON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052255",
            "telephone_number": "210-524-6771",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 S COLLEGE AVE",
            "address_2": "UNIT 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251773",
            "telephone_number": "970-484-3787",
            "fax_number": "970-484-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOWASH OPTOMETRY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "SOWASH",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-962-6906",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87005026",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Eyewear Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.