Springs Vision PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SPRINGS VISION PC

Practice address

1316 Grand Ave
Glenwood Springs, CO 81601-3871

Phone

(970) 945-5444

Fax

(970) 945-6070

NPI assigned

Dec 15, 2011

Organization subpart

No

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

Authorized official

Name

Miss Jennifer Diane Tatum

Title

Accounts Manager

Phone

(970) 945-5444

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1487923769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 GRAND AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013871",
            "telephone_number": "970-945-5444",
            "fax_number": "970-945-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 GRAND AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013871",
            "telephone_number": "970-945-5444",
            "fax_number": "970-945-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGS VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "970-945-5444",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01274653",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Michelle Southgate
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• Michael Keith Stahl, M.D.
• Kathy Roseann Stahlman, LAC
• Nicole Lynn Stalter, ARNP
• Robert S Stark, PH.D.

• Specialist in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.