NPIMap

Organization Active NPI

Insight Vision Center

  • Optometrist
  • Pueblo, CO
National Provider Identifier
1457623639
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07748 Issued in CO
Legal business name
INSIGHT VISION CENTER
Practice address
1315 S Pueblo Blvd
120
Pueblo, CO 81005-2191
Phone
(719) 561-0412
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Mr. Thomas A Nelson, OD
Title
Optometrist
Phone
(719) 561-0412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 07748 CO Primary

Addresses

Primary practice location

1315 S Pueblo Blvd
120
Pueblo, CO 81005-2191

Mailing address

1315 S Pueblo Blvd
120
Pueblo, CO 81005-2191
Phone (719) 561-0412

Other identifiers 1

IdentifierTypeStateIssuer
74922262MedicaidCO

National Provider Directory

National Provider Directory

Locations

1315 S Pueblo Blvd
#120
Pueblo, CO 81005
Phone (719) 561-0412

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1457623639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S PUEBLO BLVD",
            "address_2": "120",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052191",
            "telephone_number": "719-561-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S PUEBLO BLVD",
            "address_2": "120",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052191",
            "telephone_number": "719-561-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "719-561-0412",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "07748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74922262",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.