NPIMap

Organization Active NPI

Victory Vision Associates, PC

  • Optometrist
  • Craig, CO
National Provider Identifier
1477994036
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CO OPT 1107 Issued in CO
Legal business name
VICTORY VISION ASSOCIATES, PC
Practice address
2 W Victory Way
Craig, CO 81625-2606
Phone
(970) 824-8307
Fax
(970) 824-8307
NPI assigned
Jul 11, 2013
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Dr. Ronnie Lee SchaefferNPI 1497741755
Title
Owner
Phone
(970) 824-8307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CO OPT 1107 CO Primary

Addresses

Primary practice location

2 W Victory Way
Craig, CO 81625-2606

Mailing address

2 W Victory Way
Craig, CO 81625-2606
Phone (970) 824-8307

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, 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": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1477994036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W VICTORY WAY",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252606",
            "telephone_number": "970-824-8307",
            "fax_number": "970-824-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W VICTORY WAY",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252606",
            "telephone_number": "970-824-8307",
            "fax_number": "970-824-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY VISION ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "SCHAEFFER",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-824-8307",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO OPT 1107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Craig, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.