Hero Vision of Loveland, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HERO VISION OF LOVELAND, LLC

Doing business as

Adventure Vision

Practice address

3515 Mountain Lion Dr
Loveland, CO 80537-8819

Phone

(970) 825-7446

NPI assigned

Nov 23, 2020

Organization subpart

Yes

Parent organization

HERO VISION OF LOVELAND LLCAs reported in NPPES

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

Authorized official

Name

Shaun Urbanozo

Title

Credentialing Manager

Phone

(719) 323-2362

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adventure Vision Doing business as

Tax ID family

Hero Vision of Loveland LLC2 organizations share this tax ID, including this one

Part of

Hero Vision of Loveland LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hero Vision of Loveland, LLC

  • Optometrist
  • Loveland, CO
  • NPI 1033676101
  NPD tax ID

Locations

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.

• Hero Vision of Loveland, LLC

  • Optometrist
  • Loveland, CO
  • NPI 1033676101
  NPPES parent name

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1407450323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 MOUNTAIN LION DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378819",
            "telephone_number": "970-825-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO VISION OF LOVELAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERO VISION OF LOVELAND LLC",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "URBANOZO",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-323-2362"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000173393",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Hergenreter, ACNPC-AG
• David A Hernandez, DC
• Kelly Hernandez, RDH
• Renee Annelle Hernandez, C.M.T.
• Hero Vision of Loveland, LLC
• Heron Lake LLC
• Todd Heron, MS, PA-C
• Pamela Kay Herrick, LMFT
• Jeanie M Hersh
• Bryan Jeremy Herzog, MD

• Optometrist in Loveland, CO
• Providers in Loveland, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.