Organization Active NPI

Spring Creek Eye Care, PLLC

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1578099297
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003281 Issued in CO
Legal business name
SPRING CREEK EYE CARE, PLLC
Practice address
3100 S College Ave
Suite 120
Fort Collins, CO 80525-2643
Phone
(970) 223-5030
NPI assigned
May 2, 2017
Organization subpart
Yes
Parent organization
LORENA DE LA GARZAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Lorena De la Garza, O.D.NPI 1043523129
Title
Owner
Phone
(970) 223-5030

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 003281 CO Primary

Addresses

Primary practice location

3100 S College Ave
Suite 120
Fort Collins, CO 80525-2643

Mailing address

3100 S College Ave
Suite 120
Fort Collins, CO 80525-2643
Phone (970) 223-5030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170523000374 CO Part B Supplier - Clinic/Group Practice 5698042679 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory
Part of
Lorena de la Garza

Locations

3100 S College Ave
Ste 120
Fort Collins, CO 80525
Phone (970) 223-2117

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1578099297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S COLLEGE AVE",
            "address_2": "SUITE 120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252643",
            "telephone_number": "970-223-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S COLLEGE AVE",
            "address_2": "SUITE 120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252643",
            "telephone_number": "970-223-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK EYE CARE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LORENA DE LA GARZA",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "DE LA GARZA",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-223-5030",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "003281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.