Monument Vision Clinic PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MONUMENT VISION CLINIC PC

Practice address

1860 Woodmoor Dr
Suite 103
Monument, CO 80132-9093

Phone

(719) 488-2042

Fax

(719) 488-0965

NPI assigned

Dec 20, 2010

Last updated

May 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frank E Puckett, O.D.NPI 1881689198

Title

Optometrist/Owner

Phone

(719) 488-2042

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 5

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.

• John Matthew Macdonald, OD

  • Optometrist
  • Monument, CO
  • NPI 1912312943
  Medicare reassignment Care Compare group NPD
• Brandon Carl Sloan, O.D.

  • Optometrist
  • Monument, CO
  • NPI 1306253646
  Medicare reassignment Care Compare group NPD
• Heather Mironas

  • Optometrist
  • Anaheim, CA
  • NPI 1467804914

  CO

  Medicare reassignment Care Compare group NPD
• James Andrew Sbarbaro Jr., M.D.

  • Cornea and External Diseases Specialist Physician
  • Colorado Springs, CO
  • NPI 1972781805
  Medicare reassignment NPD
• Frank E Puckett, OD

  • Optometrist
  • Monument, CO
  • NPI 1881689198
  Authorized official Same address or phone

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1588967228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 WOODMOOR DR",
            "address_2": "SUITE 103",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329093",
            "telephone_number": "719-488-2042",
            "fax_number": "719-488-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 WOODMOOR DR",
            "address_2": "SUITE 103",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329093",
            "telephone_number": "719-488-2042",
            "fax_number": "719-488-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT VISION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "719-488-2042",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DU5449",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Mitchell
• Kimberly Monteith
• Monument Dentists and Orthodontics, LLP (Monument Dentists and Orthodontics)
• Monument Optical Plaza Inc (Premier Vision)
• Monument Pharmacy
• Morgan Bacheldor LLC
• Emily Morgan
• Maranda Lynn Morgan
• Nahid Venus Kadir Moshrefi, RESPIRATORYTHERAPIST
• Simonique Samantha Moss

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.