SLV Eye Docs, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

990 Issued in CO

Legal business name

SLV EYE DOCS, LLC

Doing business as

Monte Vista Eye Care East

Practice address

706 Del Sol Dr
Alamosa, CO 81101

Phone

(719) 587-9999

Fax

(719) 587-5200

NPI assigned

Dec 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul William Heersink, O.D

Title

President

Phone

(719) 852-3412

Specialties & licenses 1

Addresses

Other names 1

• Monte Vista Eye Care East Doing business as

Locations

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1417193079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 DEL SOL DR",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "81101",
            "telephone_number": "719-587-9999",
            "fax_number": "719-587-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 DEL SOL DR",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "81101",
            "telephone_number": "719-587-9999",
            "fax_number": "719-587-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLV EYE DOCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "HEERSINK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-852-3412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monte Vista Eye Care East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; 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.