Brian Vette, OD

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

2851 Issued in CO

Practice address

3470 Parker Blvd
Pueblo, CO 81008-2280

Phone

(507) 398-6327

NPI assigned

Oct 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Park West Vision, LLC

  • Optometrist
  • Pueblo, CO
  • NPI 1093233348
  NPD (past)

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1629303284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 S ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809162408",
            "telephone_number": "507-398-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 PARKER BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082280",
            "telephone_number": "507-398-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTE",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-14",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CO",
            "license": "2851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8884765",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Veltri, RN
• Jessie Lynn Venegas, BSW CACII
• Priscilla Lynn Verner, PT
• Veteran Home Care
• Veteran Home Care LLC
• Christopher Gerard Vialpando, M.D.
• John Ryan Vialpando, BS
• Melissa M Vialpando, COTA
• Serenity Lynn Vialpando
• Stephen Vialpando, M.D.

• Pediatric Optometrist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Pediatric Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.