Four Corners Eye Clinic, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FOUR CORNERS EYE CLINIC, PC

Practice address

22 S Beech St
Cortez, CO 81321-3744

Phone

(970) 507-4186

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

FOUR CORNERS EYE CLINIC, PCAs reported in NPPES

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

Authorized official

Name

Eric Campbell MeyerNPI 1003989633

Title

Owner

Phone

(970) 259-2202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Four Corners Eye Clinic, PC

  • Specialist
  • Durango, CO
  • NPI 1164595658

  O20040329000385

  Same enrollment
• Four Corners Eye Clinic, PC

  • Specialist
  • Pagosa Springs, CO
  • NPI 1386875441

  O20040329000385

  Same enrollment

Tax ID family

Four Corners Eye Clinic PC3 organizations share this tax ID, including this one

Part of

Four Corners Eye Clinic PC

Other organizations with this tax ID 2

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

• Four Corners Eye Clinic, PC

  • Specialist
  • Durango, CO
  • NPI 1164595658
  NPD tax ID
• Four Corners Eye Clinic, PC

  • Specialist
  • Pagosa Springs, CO
  • NPI 1386875441
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Four Corners Eye Clinic, PC

  • Specialist
  • Durango, CO
  • NPI 1164595658
  NPPES parent name

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.

• Eric Campbell Meyer, M.D.

  • Ophthalmology Physician
  • Durango, CO
  • NPI 1003989633
  Authorized official Same address or phone

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1508629395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE LN UNIT 212",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S BEECH ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213744",
            "telephone_number": "970-507-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS EYE CLINIC, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUR CORNERS EYE CLINIC, PC",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-259-2202"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Findlay, WHNP-BC
• Sherry Fitzgerald, PTA
• Megan M Flesch, DPT
• Michael Lynn Ford
• Mark James Foster, PA
• Four Corners Medical Supply
• Todd R Fowler, M.D.
• Micheal Francisco, MPT
• G & G Medical Inc (A-Med Supply)
• Mary Helen Ganir

• Specialist in Cortez, CO
• Providers in Cortez, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.