NPIMap

Organization Active NPI

Total Vision Eye Care Group LLC

  • Ophthalmology Physician
  • Grand Junction, CO
National Provider Identifier
1619651809
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TOTAL VISION EYE CARE GROUP LLC
Practice address
2515 Foresight Cir
Grand Junction, CO 81505-1018
Phone
(303) 800-2078
NPI assigned
Jun 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Brett Ehrhardt
Title
Cfo
Phone
(720) 358-0218

Specialties & licenses 1

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

Addresses

Primary practice location

2515 Foresight Cir
Grand Junction, CO 81505-1018

Mailing address

PO Box 200426
Dallas, TX 75320-0426
Phone (303) 800-2078

Other names 1

  • Icon EyeCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040205001077 CO Part B Supplier - Clinic/Group Practice 2163315854 Receives reassigned benefits from 28 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Denver, CO; Westminster, CO; Grand Junction, CO; Golden, CO; Fort Collins, CO; Englewood, CO; Basalt, CO; Aurora, CO

Other NPIs on the same Medicare enrollment 8

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2311453Icon Eyecare-Foresight2515 Foresight Circle, Suite 220, Grand Junction, CO 81505Certificate of waiverSep 22, 2026

National Provider Directory

National Provider Directory
Tax ID family
Total Vision Eye Care G10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3900 E Mexico Ave
Ste 102
Denver, CO 80210
Phone (303) 800-2078

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1619651809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200426",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200426",
            "telephone_number": "303-800-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 FORESIGHT CIR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051018",
            "telephone_number": "303-800-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VISION EYE CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "EHRHARDT",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "720-358-0218"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Icon EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.