WM. Rex Eland, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-1026 Issued in CO

Legal business name

WM. REX ELAND, O.D., P.C.

Practice address

1211 Lake Ave Ste 102
Berthoud, CO 80513-9381

Phone

(970) 532-5605

Fax

(970) 532-5607

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Rex Eland, O.D.NPI 1811088495

Title

President

Phone

(970) 532-5605

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Berthoud Vision for Life Other name

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.

• William Rex Eland, O.D.

  • Optometrist
  • Berthoud, CO
  • NPI 1811088495
  Medicare reassignment Care Compare group NPD Authorized official
• Corey D. Pratt, O.D.

  • Optometrist
  • Greeley, CO
  • NPI 1598940777
  Medicare reassignment Care Compare group NPD
• Zoey Kay Loomis, OD

  • Optometrist
  • Fort Morgan, CO
  • NPI 1588646822
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1568589505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 LAKE AVE STE 102",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805139381",
            "telephone_number": "970-532-5605",
            "fax_number": "970-532-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 LAKE AVE STE 102",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805139381",
            "telephone_number": "970-532-5605",
            "fax_number": "970-532-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM. REX ELAND, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "ELAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "REX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-532-5605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT-1026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63821371",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berthoud Vision for Life",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary M Watson, CD (DONA)
• Bridgett Murtagh Weaver, D.P.T.
• Miranda Hope Wichelns, LCSW
• Sheree Wilkinson, SLP
• Brett Wisniewski, D.C.
• Wolfenden Family Dental, PLLC (Berthoud Dental Care)
• Keith Wolfenden, DMD
• Dawn Cecil Wood, APRN
• Yellow Butterfly Counseling, LLC
• Jake Thomas Yuska

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.