Mountain View Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOUNTAIN VIEW EYECARE LLC

Practice address

5650 S Chambers Rd
Aurora, CO 80015-1132

Phone

(720) 419-9923

NPI assigned

Jun 10, 2024

Last updated

Jun 10, 2024By 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

Dr. Jordan Max Paul, ODNPI 1730595521

Title

Owner/Doctor

Phone

(720) 419-9923

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Mountain View Eyecare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mountain View Eyecare LLC

  • Optometrist
  • Burlington, CO
  • NPI 1376415059
  NPD tax ID
• Mountain View Eyecare LLC

  • Optometrist
  • Centennial, CO
  • NPI 1790505188
  NPD tax ID

Practitioners 1

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.

• Jordan Max Paul, O.D.

  • Optometrist
  • Aurora, CO
  • NPI 1730595521
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1407698525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14307 DOUBLE DUTCH CIR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801348909",
            "telephone_number": "720-419-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 S CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151132",
            "telephone_number": "720-419-9923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10900 E Briarwood Ave",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801123820",
            "country_code": "US",
            "telephone_number": "720-419-9923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN VIEW EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "720-419-9923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Moulton, MD
• Steven L Moulton, MD
• Sarah Moultrie, CPNP-AC
• Irvin Moultry, RDN
• Mountain Blue Cancer Care Center PC
• Mountain View Pain Center
• Benjamin Maresh Mountjoy
• Kimberly Ann Mourani, MD
• Ghizlane Moussarrif
• Ahmed Moutwakil

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.