Organization Active NPI

Rocky Mountain Family Vision, PC

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1396977906
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2607 Issued in CO
Legal business name
ROCKY MOUNTAIN FAMILY VISION, PC
Practice address
3609 S Timberline Rd Unit B
Fort Collins, CO 80525-3430
Phone
(970) 377-0005
Fax
(970) 377-2520
NPI assigned
Aug 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Abby Schoonover, O.D.NPI 1053597112
Title
Optometrist
Phone
(970) 377-0005

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 2607 CO Primary

Addresses

Primary practice location

3609 S Timberline Rd Unit B
Fort Collins, CO 80525-3430

Mailing address

3609 S Timberline Rd Unit B
Fort Collins, CO 80525-3430
Phone (970) 377-0005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091022000737 CO Part B Supplier - Clinic/Group Practice 9537206594 Receives reassigned benefits from 5 practitioners
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory

Locations

3609 S Timberline Rd
#B
Fort Collins, CO 80525
Phone (970) 377-0005

2105 Bighorn Rd
Ste 104
Fort Collins, CO 80525
Phone (970) 377-0005

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1396977906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 S TIMBERLINE RD UNIT B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253430",
            "telephone_number": "970-377-0005",
            "fax_number": "970-377-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 S TIMBERLINE RD UNIT B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253430",
            "telephone_number": "970-377-0005",
            "fax_number": "970-377-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN FAMILY VISION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "SCHOONOVER",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "970-377-0005",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.