Organization Active NPI

Aspen Eye Center LLC

  • Optometrist
  • Estes Park, CO
National Provider Identifier
1548814726
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ASPEN EYE CENTER LLC
Practice address
600 S Saint Vrain Ave
Estes Park, CO 80517-5422
Phone
(970) 586-4418
NPI assigned
Jul 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Amber BuscheNPI 1285921528
Title
Owner/OD
Phone
(970) 586-4418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

600 S Saint Vrain Ave
Estes Park, CO 80517-5422

Mailing address

600 S Saint Vrain Ave
Estes Park, CO 80517-5422

Other names 1

  • Aspen Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191210002753 CO Part B Supplier - Clinic/Group Practice 9830522572 Receives reassigned benefits from 1 practitioner
Practice locations: Estes Park, CO

National Provider Directory

National Provider Directory

Locations

600 S Saint Vrain Ave
Estes Park, CO 80517
Phone (970) 586-4418

600 S Saint Vrain Ave
Unit 5
Estes Park, CO 80517
Phone (970) 586-4418

1861 Marys Lake Rd
Estes Park, CO 80517
Phone (970) 586-4418

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1548814726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S SAINT VRAIN AVE",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805175422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S SAINT VRAIN AVE",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805175422",
            "telephone_number": "970-586-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "BUSCHE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "970-586-4418"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Estes Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.