Organization Active NPI

Associated Eye Care Services, LLC

  • Optometrist
  • Parker, CO
National Provider Identifier
1477690394
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13730 Issued in CO
Legal business name
ASSOCIATED EYE CARE SERVICES, LLC
Practice address
11961 Lioness Way
Parker, CO 80134-5302
Phone
(208) 806-4557
Fax
(303) 880-6460
NPI assigned
Jan 31, 2007
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Michael Meehan
Title
Ceo
Phone
(303) 794-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 13730 CO Primary

Addresses

Primary practice location

11961 Lioness Way
Parker, CO 80134-5302

Mailing address

11961 Lioness Way
Parker, CO 80134-5302
Phone (303) 671-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160328001344 CO Part B Supplier - Clinic/Group Practice 2668583469 Receives reassigned benefits from 5 practitioners
Practice locations: Parker, CO

National Provider Directory

National Provider Directory

Locations

5150 E Yale Cir
Ste 101
Denver, CO 80222
Phone (303) 758-3284

8101 E Lowry Blvd
Ste 110
Lowry, CO 80230
Phone (303) 214-4618

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1477690394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11961 LIONESS WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345302",
            "telephone_number": "303-671-0000",
            "fax_number": "303-367-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11961 LIONESS WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345302",
            "telephone_number": "208-806-4557",
            "fax_number": "303-880-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED EYE CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-08-15",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-794-1111"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "13730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.

Verify at the official NPI Registry.