Vision Clinic of Greeley P C

Primary specialty

OptometristTaxonomy code 152W00000X

License

1962 Issued in CO

Legal business name

VISION CLINIC OF GREELEY P C

Practice address

2001 46TH Ave
Greeley, CO 80634-3250

Phone

(970) 330-7070

Fax

(970) 330-8382

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tarry B Harvey IV, OD

Title

Optometrist

Phone

(970) 330-7070

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Vision Clinic at Foxhill Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

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

• Bertram Tarleton Harvey IV, OD

  • Optometrist
  • Greeley, CO
  • NPI 1043296965
  Medicare reassignment Care Compare group NPD
• Nancy Barnard Smith, O.D.

  • Corneal and Contact Management Optometrist
  • Greeley, CO
  • NPI 1164578373
  Medicare reassignment Care Compare group NPD
• Maryn Caprice Sturm, O.D.

  • Optometrist
  • Eaton, CO
  • NPI 1942516646
  Medicare reassignment NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1508948829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 46TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343250",
            "telephone_number": "970-330-7070",
            "fax_number": "970-330-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 46TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343250",
            "telephone_number": "970-330-7070",
            "fax_number": "970-330-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CLINIC OF GREELEY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "TARRY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "970-330-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1962",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "799",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04767430",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Clinic at Foxhill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonya Villarreal, DDS
• Maria G Villegas
• Dean Vincent
• Katrina Diane Vining, M.A., CCC-SLP
• Terry Lynn Vinsonhaler, MA LPC
• Kamryn Voight
• Karen Eileen Volpe, M.D.
• Volunteers of America Colorado Branch
• Tess Volz
• Karen L Vorderberg, CNM

• Optometrist in Greeley, CO
• Providers in Greeley, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.