Organization Active NPI

Zoey K. Loomis, O.D., P.C.

  • Optometrist
  • Fort Morgan, CO
National Provider Identifier
1467646273
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 1825 Issued in CO
Legal business name
ZOEY K. LOOMIS, O.D., P.C.
Practice address
529 Saunders Road
Fort Morgan, CO 80701
Phone
(970) 867-3937
Fax
(970) 867-3037
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Zoey Kay LoomisNPI 1588646822
Title
President
Phone
(970) 867-3937

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 OPT 1825 CO Primary

Addresses

Primary practice location

529 Saunders Road
Fort Morgan, CO 80701

Mailing address

529 Saunders Road
Fort Morgan, CO 80701
Phone (970) 867-3937

Other identifiers 2

IdentifierTypeStateIssuer
DO2221OtherRAILROAD MEDICARE
64656276MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070926000374 CO Part B Supplier - Clinic/Group Practice 6800980582 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Morgan, CO
O20100930003553 CO DME Supplier - Physician - OptometristDME Supplier - Optician 6800980582 Practice locations: Fort Morgan, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kiowa Eye Care Center529 Saunders Rd, Fort Morgan, CO 80701-3722(970) 867-3937 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 17, 2007

National Provider Directory

National Provider Directory

Locations

231 Prospect St
Ste B
Fort Morgan, CO 80701
Phone (970) 867-3937

529 Saunders Rd
Fort Morgan, CO 80701
Phone (970) 867-3937

Practitioners & affiliated clinicians

Practitioners 3

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": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1467646273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 SAUNDERS ROAD",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "80701",
            "telephone_number": "970-867-3937",
            "fax_number": "970-867-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 SAUNDERS ROAD",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "80701",
            "telephone_number": "970-867-3937",
            "fax_number": "970-867-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOEY K. LOOMIS, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "ZOEY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-867-3937"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT 1825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO2221",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64656276",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.