Active NPI
Vista Vision Family Eye Care, LLC
- Optometrist
- Montrose, CO
National Provider Identifier
1427329978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2792
- Legal business name
- VISTA VISION FAMILY EYE CARE, LLC
- Practice address
- 2770 Woodgate Rd
Montrose, CO 81401-5466 - Phone
- (970) 249-2330
- Fax
- (970) 249-6131
- NPI assigned
- Jan 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Jason Lisenby, OD
- Title
- Optometrist
- Phone
- (970) 249-2330
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2792 | CO | Primary |
Addresses
Primary practice location
2770 Woodgate Rd
Montrose, CO 81401-5466
Mailing address
2770 Woodgate Rd
Montrose, CO 81401-5466
Phone (970) 249-2330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120725000773 | CO | Part B Supplier - Clinic/Group Practice | 6103082748 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment Practice locations: Grand Junction, CO; Montrose, CO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Vista Vision Family Eye Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Grand Junction, CO
- NPI 1578823837
Locations
2545 Rimrock Ave
Grand Junction, CO 81505
Phone (970) 242-9050
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Montrose, CO
- NPI 1043516784
-
- Optometrist
- Montrose, CO
- NPI 1053542530
-
- Optometrist
- Montrose, CO
- NPI 1366762288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609200000000",
"number": "1427329978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2770 WOODGATE RD",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015466",
"telephone_number": "970-249-2330",
"fax_number": "970-249-6131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 WOODGATE RD",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015466",
"telephone_number": "970-249-2330",
"fax_number": "970-249-6131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTA VISION FAMILY EYE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-14",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A",
"authorized_official_last_name": "LISENBY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "JASON",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "970-249-2330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CO",
"license": "2792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, CO
- Nichole Nerseth Vanderwalker, RN
- David Francis Vargo
- Vibrant Caregiving, LLC
- Stephen Mark Vicalvi, DDS
- Vista Charter School
- Voans Senior Community Care of Colorado, Inc.
- Volunteers of America Care Facilities
- Volunteers of America Care Facilities
- Volunteers of America Homestead 2000, Inc.
- Nathan S Wagner, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.