Organization Active NPI

CV Eyecare, LLC

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1427718311
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CV EYECARE, LLC
Practice address
9670 Prominent PT
Colorado Springs, CO 80924-5000
Phone
(719) 495-0856
NPI assigned
Dec 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Cam-Van Lecarrell, ODNPI 1700865474
Title
Optometrist
Phone
(803) 457-1002

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 Primary

Addresses

Primary practice location

9670 Prominent PT
Colorado Springs, CO 80924-5000

Mailing address

6429 Farthing Drive, Colorado Springs Co 80906-7506
Colorado Springs, CO 80906
Phone (803) 457-1002

Other practice location 1

750 Citadel Dr E
Colorado Springs, CO 80909-5327
Phone (719) 591-0199

Other practice location 2

3810 Bloomington St
Colorado Springs, CO 80922-3203
Phone (719) 622-1529

Other names 1

  • CV EYECARE LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1427718311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6429 FARTHING DRIVE, COLORADO SPRINGS CO 80906-7506",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "803-457-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9670 PROMINENT PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809245000",
            "telephone_number": "719-495-0856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Citadel Dr E",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095327",
            "country_code": "US",
            "telephone_number": "719-591-0199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3810 Bloomington St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809223203",
            "country_code": "US",
            "telephone_number": "719-622-1529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CV EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "LECARRELL",
        "authorized_official_first_name": "CAM-VAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "803-457-1002",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CV EYECARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.