NPIMap

Organization Active NPI

Richard & Marcia Stauter

Doing business as Family Eye Center

  • Optometrist
  • Greeley, CO
National Provider Identifier
1629244470
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1282 Issued in CO
Legal business name
RICHARD & MARCIA STAUTER
Doing business as
Family Eye Center
Practice address
3545 W 12TH St
Ste. 101
Greeley, CO 80634-2545
Phone
(970) 352-4200
Fax
(970) 352-4278
NPI assigned
May 1, 2008
Last updated
Mar 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Dr. Marcia Schulte Stauter, O.D.NPI 1821188749
Title
Owner
Phone
(970) 352-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1282 CO
Optometrist 152W00000X 1282 CO Primary

Addresses

Primary practice location

3545 W 12TH St
Ste. 101
Greeley, CO 80634-2545

Mailing address

3545 W 12TH St
Ste. 101
Greeley, CO 80634-2545
Phone (970) 352-4200

Other identifiers 1

IdentifierTypeStateIssuer
08012825MedicaidCO

Other names 1

  • Family Eye Center Doing business as

National Provider Directory

National Provider Directory

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": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1629244470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 W 12TH ST",
            "address_2": "STE. 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342545",
            "telephone_number": "970-352-4200",
            "fax_number": "970-352-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 W 12TH ST",
            "address_2": "STE. 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342545",
            "telephone_number": "970-352-4200",
            "fax_number": "970-352-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD & MARCIA STAUTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "STAUTER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "SCHULTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-352-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "1282",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08012825",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.