Organization Active NPI

Simmons Eye Associates

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1609498906
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SIMMONS EYE ASSOCIATES
Practice address
5278 N Nevada Ave Ste 120
Colorado Springs, CO 80918-8720
Phone
(719) 559-2020
Fax
(719) 632-6088
NPI assigned
May 11, 2020
Organization subpart
Yes
Parent organization
SIMMONS EYE ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Brittany Nicole Mayle
Title
Manager
Phone
(719) 559-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X

Addresses

Primary practice location

5278 N Nevada Ave Ste 120
Colorado Springs, CO 80918-8720

Mailing address

320 E Fontanero St Ste 201
Colorado Springs, CO 80907-7525
Phone (719) 599-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141002001391 CO Part B Supplier - Clinic/Group Practice 5890915490 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colorado Springs, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Simmons Eye Associates

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1609498906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E FONTANERO ST STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077525",
            "telephone_number": "719-599-2020",
            "fax_number": "719-632-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5278 N NEVADA AVE STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188720",
            "telephone_number": "719-559-2020",
            "fax_number": "719-632-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS EYE ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMMONS EYE ASSOCIATES",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "MAYLE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-559-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 11, 2020; 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.