The Retina Center of Western Colorado RLLP

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

THE RETINA CENTER OF WESTERN COLORADO RLLP

Practice address

2478 Patterson Rd
Suite 7
Grand Junction, CO 81505-3605

Phone

(970) 255-7065

Fax

(970) 255-7076

NPI assigned

Jan 31, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Susan Waterhouse

Title

Practice Administrator

Phone

(970) 255-7065

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• William J. Waterhouse, MD Former legal business name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Harder, D.O.

  • Ophthalmology Physician
  • Grand Junction, CO
  • NPI 1316150287
  Medicare reassignment Care Compare group NPD
• William J. Waterhouse, MD

  • Ophthalmology Physician
  • Grand JCT, CO
  • NPI 1275536138
  Medicare reassignment Care Compare group NPD
• Courtney Kiersten Pollard

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1407273402

  CO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726963200000",
    "number": "1477892172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD",
            "address_2": "SUITE 7",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053605",
            "telephone_number": "970-255-7065",
            "fax_number": "970-255-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD",
            "address_2": "SUITE 7",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053605",
            "telephone_number": "970-255-7065",
            "fax_number": "970-255-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RETINA CENTER OF WESTERN COLORADO RLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "WATERHOUSE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "970-255-7065",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01335132",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William J. Waterhouse, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ophthalmology Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.