Mountain Valley Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOUNTAIN VALLEY EYE CARE LLC

Practice address

2509 Main St
Alamosa, CO 81101-2239

Phone

(719) 589-0825

NPI assigned

Oct 25, 2023

Last updated

Oct 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon Tibbitts, ODNPI 1902184534

Title

Owner/Optometrist

Phone

(719) 948-7941

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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.

• Brandon James Tibbitts, OD

  • Optometrist
  • Alamosa, CO
  • NPI 1902184534
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1518739242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 MAIN ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 MAIN ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012239",
            "telephone_number": "719-589-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VALLEY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "TIBBITTS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "719-948-7941",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Moreno
• Doris Morgan, MED-CLINICAL COUNSEL
• Breanna Mae Mosco, LPCC
• Mountain Air Oxygen Service, Inc.
• Mountain Harmony Yoga and Bodywork
• Mountain Valley Home Care
• Christine Mullen
• Shanae Karen Mundee, ATC
• Stephen Lloyd Mundee
• Luis F Murillo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.