NPIMap

Organization Active NPI

Eyecare for You LLC

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1508198433
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2025 Issued in CO
Legal business name
EYECARE FOR YOU LLC
Practice address
4050 S Timberline Rd
Suite 120
Fort Collins, CO 80525-6032
Phone
(970) 282-8888
Fax
(970) 282-8484
NPI assigned
Feb 3, 2010
Last updated
Feb 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Marc A Provencher, O.D.NPI 1184794745
Title
Sole MBR
Phone
(970) 282-8888

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
Optometrist 152W00000X 2025 CO Primary

Addresses

Primary practice location

4050 S Timberline Rd
Suite 120
Fort Collins, CO 80525-6032

Mailing address

4050 S Timberline Rd
Suite 120
Fort Collins, CO 80525-6032
Phone (970) 282-8888

National Provider Directory

National Provider Directory

Locations

4050 S Timberline Rd
Unit 120
Fort Collins, CO 80525
Phone (970) 282-8888

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": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1508198433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 S TIMBERLINE RD",
            "address_2": "SUITE 120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256032",
            "telephone_number": "970-282-8888",
            "fax_number": "970-282-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 S TIMBERLINE RD",
            "address_2": "SUITE 120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256032",
            "telephone_number": "970-282-8888",
            "fax_number": "970-282-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE FOR YOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "PROVENCHER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "970-282-8888",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.