NPIMap

Organization Active NPI

Peterson Family Eyecare

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1568752293
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2804 Issued in CO
Legal business name
PETERSON FAMILY EYECARE
Practice address
6665 Delmonico Dr
Ste. a
Colorado Springs, CO 80919-6801
Phone
(719) 599-9393
NPI assigned
Apr 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Matthew Peterson, O.D.
Title
President
Phone
(719) 599-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2804 CO Primary

Addresses

Primary practice location

6665 Delmonico Dr
Ste. a
Colorado Springs, CO 80919-6801

Mailing address

6665 Delmonico Dr
Ste. a
Colorado Springs, CO 80919-6801
Phone (719) 599-9393

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1568752293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6665 DELMONICO DR",
            "address_2": "STE. A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809196801",
            "telephone_number": "719-599-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6665 DELMONICO DR",
            "address_2": "STE. A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809196801",
            "telephone_number": "719-599-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-599-9393",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.