Organization Active NPI

Rocky Mountain Eye Surgeons PLLC

  • Ophthalmologic Surgery Clinic/Center
  • Wheat Ridge, CO
National Provider Identifier
1629310636
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
DR.0052062 Issued in CO
Legal business name
ROCKY MOUNTAIN EYE SURGEONS PLLC
Practice address
7920 W 44TH Ave
Wheat Ridge, CO 80033-4506
Phone
(303) 424-7572
Fax
(303) 424-1703
NPI assigned
Mar 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Antoni Alchimowicz Allen, MDNPI 1548499049
Title
Manager
Phone
(801) 244-9994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X DR.0052062 CO Primary

Addresses

Primary practice location

7920 W 44TH Ave
Wheat Ridge, CO 80033-4506

Mailing address

7920 W 44TH Ave
Wheat Ridge, CO 80033-4506
Phone (303) 424-7572

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130828000679 CO Part B Supplier - Clinic/Group Practice 1052554771 Receives reassigned benefits from 2 practitioners
Practice locations: Wheat Ridge, CO

National Provider Directory

National Provider Directory

Locations

7920 W 44th Ave
#A
Wheat Ridge, CO 80033
Phone (303) 424-7572

Practitioners & affiliated clinicians

Practitioners 2

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": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1629310636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 W 44TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334506",
            "telephone_number": "303-424-7572",
            "fax_number": "303-424-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 W 44TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334506",
            "telephone_number": "303-424-7572",
            "fax_number": "303-424-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN EYE SURGEONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ANTONI",
        "authorized_official_middle_name": "ALCHIMOWICZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-244-9994",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CO",
            "license": "DR.0052062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.