Active NPI
Eye and Laser Center of Fort Collins
- Ophthalmology Physician
- Fort Collins, CO
National Provider Identifier
1568640688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 27191
- Legal business name
- EYE AND LASER CENTER OF FORT COLLINS
- Practice address
- 2121 E Harmony Rd
Suite 190
Fort Collins, CO 80528-3400 - Phone
- (970) 224-2020
- Fax
- (970) 224-2236
- NPI assigned
- Jan 31, 2008
- Last updated
- Dec 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew M Norris, MD
- Title
- Owner
- Phone
- (970) 224-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 27191 | CO | Primary |
Addresses
Primary practice location
2121 E Harmony Rd
Suite 190
Fort Collins, CO 80528-3400
Mailing address
2121 E Harmony Rd
Suite 190
Fort Collins, CO 80528-3400
Phone (970) 224-2020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EY669737 | Other | CO | ANTHEM BLUE CROSS AND BLUE SHIELD |
| DN7505 | Other | CO | RR MEDICARE PTAN |
| 10257039 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228262400000",
"number": "1568640688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD",
"address_2": "SUITE 190",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283400",
"telephone_number": "970-224-2020",
"fax_number": "970-224-2236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD",
"address_2": "SUITE 190",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283400",
"telephone_number": "970-224-2020",
"fax_number": "970-224-2236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE AND LASER CENTER OF FORT COLLINS",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-31",
"last_updated": "2008-12-03",
"status": "A",
"authorized_official_last_name": "NORRIS",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-224-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CO",
"license": "27191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD",
"identifier": "EY669737",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "DN7505",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10257039",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
- Breke Ewton
- Valerie Elisabeth Exelby, NP
- Expedition Counseling, LLC
- Experience Dental 3 PLLC
- Expressive Hearts Therapy, LLC
- Eye Center of Northern Colorado, P.C.
- Eye Center of Northern Colorado, P.C. (Eye Center of Northern Colorado)
- Eye Center of Northern Colorado, P.C.
- Eye Center Optical of Northern Colorado LLC
- Eye Center Optical of Northern Colorado LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.