Colorado Center for Visual Performance LLC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

OPT2732 Issued in CO

Legal business name

COLORADO CENTER FOR VISUAL PERFORMANCE LLC

Practice address

71 Erie Pkwy Unit 105
Erie, CO 80516-2520

Phone

(303) 828-9877

Fax

(303) 828-9878

NPI assigned

Oct 3, 2016

Organization subpart

No

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

Authorized official

Name

Jeff Berger, OD

Title

Ceo

Phone

(303) 828-9877

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeffrey Berger, O.D.

  • Optometrist
  • Frederick, CO
  • NPI 1700018256
  NPD (past)

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1487103339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ERIE PKWY UNIT 105",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805162520",
            "telephone_number": "303-828-9877",
            "fax_number": "303-828-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ERIE PKWY UNIT 105",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805162520",
            "telephone_number": "303-828-9877",
            "fax_number": "303-828-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO CENTER FOR VISUAL PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-828-9877",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "OPT2732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vision Therapy Optometrist in Erie, CO
• Providers in Erie, CO by specialty
• Vision Therapy Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.