NPIMap

Organization Active NPI

Eye Care Associates of Co LLC

  • Optometrist
  • Centennial, CO
National Provider Identifier
1487477501
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CARE ASSOCIATES OF CO LLC
Practice address
7960 S University Blvd
Centennial, CO 80122-3166
Phone
(303) 761-2345
NPI assigned
Nov 6, 2024
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Marquetta Shonta Latimore
Title
Credentialing Manager
Phone
(319) 204-5326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

7960 S University Blvd
Centennial, CO 80122-3166

Mailing address

230 Kings Hwy E Ste 333
Haddonfield, NJ 08033-1907

National Provider Directory

National Provider Directory
Tax ID family
Eye Care Assoc of Co LLC34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

7960 S University Blvd
Centennial, CO 80122
Phone (303) 761-2345

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": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1487477501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 KINGS HWY E STE 333",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 S UNIVERSITY BLVD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223166",
            "telephone_number": "303-761-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "LATIMORE",
        "authorized_official_first_name": "MARQUETTA",
        "authorized_official_middle_name": "SHONTA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "319-204-5326"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.