NPIMap

Organization Active NPI

Total Vision Eye Care Group LLC

  • Ophthalmology Physician
  • Basalt, CO
National Provider Identifier
1568248243
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TOTAL VISION EYE CARE GROUP LLC
Practice address
100 Elk Run Dr Ste 206
Basalt, CO 81621-9241
Phone
(970) 927-5107
Fax
(303) 800-2078
NPI assigned
Sep 7, 2023
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Brett Ehrhardt
Title
Cfo
Phone
(720) 358-0218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

100 Elk Run Dr Ste 206
Basalt, CO 81621-9241

Mailing address

PO Box 200426
Dallas, TX 75320-0426

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040205001077 CO Part B Supplier - Clinic/Group Practice 2163315854 Receives reassigned benefits from 28 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Denver, CO; Westminster, CO; Grand Junction, CO; Golden, CO; Fort Collins, CO; Englewood, CO; Basalt, CO; Aurora, CO

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Tax ID family
Total Vision Eye Care GRP10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

3900 E Mexico Ave
Ste 102
Denver, CO 80210
Phone (303) 800-2078

10520 El Diente Ct
#A
Englewood, CO 80112

400 Indiana St
Ste 360
Golden, CO 80401
Phone (303) 384-3700

1000 Wellington Ave
Ste A
Grand Junction, CO 81501
Phone (970) 256-0400

120 W Park Dr
Ste 108
Grand Junction, CO 81505
Phone (970) 245-0262

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1568248243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200426",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELK RUN DR STE 206",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816219241",
            "telephone_number": "970-927-5107",
            "fax_number": "303-800-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VISION EYE CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "EHRHARDT",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "720-358-0218"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.