Optom-Eyes,LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

OPTOM-EYES,LLC

Practice address

3585 Van Teylingen Dr Ste B
Colorado Springs, CO 80917-4872

Phone

(936) 443-4151

NPI assigned

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Amanda Walls, ODNPI 1073827531

Title

Owner

Phone

(936) 443-4151

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Optom-Eye,LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 7

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

• Amanda Sue Walls, O.D.

  • Pediatric Optometrist
  • Colorado Springs, CO
  • NPI 1073827531
  Medicare reassignment Care Compare group NPD Authorized official
• Hunter Kent Sneller

  • Optometrist
  • Peyton, CO
  • NPI 1285523076
  Medicare reassignment Care Compare group NPD
• Thomas A Wilson, OD

  • Optometrist
  • Colorado Springs, CO
  • NPI 1720073968
  Medicare reassignment Care Compare group NPD
• Devin Jackson

  • Optometrist
  • Colorado Springs, CO
  • NPI 1720574544
  Medicare reassignment NPD
• Anthony Gust Kohler, DOCTOR OF OPTOMETRY

  • Optometrist
  • Colorado Springs, CO
  • NPI 1285259200
  Medicare reassignment NPD
• Amber Weimer, OD

  • Optometrist
  • Woodland Park, CO
  • NPI 1396392361
  Medicare reassignment NPD
• Gail E Saxerud, O.D.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1518080266
  NPD

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1619624632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 VAN TEYLINGEN DR STE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174872",
            "telephone_number": "936-443-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 VAN TEYLINGEN DR STE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174872",
            "telephone_number": "936-443-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOM-EYES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-443-4151",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351521ZGYB",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://optom-eyes.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3585 Van Teylingen Dr Ste B",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809174872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Optom-Eye,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Optimism Eye Care Co PLLC
• Optimum Health Center, LLC
• Optimum Therapy and Wellness, LLC
• Optique de Mel, LLC
• Optom-Eyes, Inc.
• Optum Palliative and Hospice Care, Inc.
• Optum Palliative and Hospice Care, Inc.
• Optum Peak Endoscopy Center LLC
• Optumcare Colorado ASC, LLC
• Optumcare Colorado ASC, LLC

• Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.