Chapel Hills Vision P C

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHAPEL HILLS VISION P C

Practice address

2438 Research Pkwy Ste 200
Colorado Springs, CO 80920-1094

Phone

(719) 599-5083

Fax

(719) 599-3291

NPI assigned

Sep 13, 2005

Last updated

Apr 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Brueggemann

Title

Office Manager

Phone

(719) 599-5083

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 2

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

• Chapel Hills Vision P C

  • Optometrist
  • Colorado Springs, CO
  • NPI 1336134683

  O20040322000276

  Same enrollment
• Staci Perea McMullen, OD

  • Optometrist
  • Colorado Springs, CO
  • NPI 1386639615

  I20100909000944

  Same enrollment

Locations

Practitioners 14

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.

• Cynthia A Cid, OD

  • Optometrist
  • Colorado Springs, CO
  • NPI 1992763403
  Medicare reassignment Care Compare group NPD
• Yubisela Toledo, OD

  • Optometrist
  • Colorado Springs, CO
  • NPI 1336711662
  Medicare reassignment Care Compare group NPD
• Shane William Frerichs, O.D.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1497031124
  Medicare reassignment Care Compare group
• David P Guhl, OD

  • Optometrist
  • Colorado Springs, CO
  • NPI 1295720514
  Medicare reassignment NPD
• Joanne Hendrick, OD

  • Optometrist
  • Colorado Springs, CO
  • NPI 1730174079
  Medicare reassignment NPD
• Staci Perea McMullen, OD

  • Optometrist
  • Colorado Springs, CO
  • NPI 1386639615
  NPD
• Nicole Bergamo, O.D.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1306906771
  NPD (past)
• Jerry Allen Hendricks, O.D.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1730165275
  NPD (past)
• Keely M Knoche, OD

  • Optometrist
  • Colorado Springs, CO
  • NPI 1992790216
  NPD (past)
• Lindsay M Sallecchia, O.D.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1760867402
  NPD (past)
• Melissa Anne Tada, OPTOMETRIST

  • Optometrist
  • Colorado Springs, CO
  • NPI 1154385169
  NPD (past)
• Thomas A Wilson, OD

  • Optometrist
  • Colorado Springs, CO
  • NPI 1720073968
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1639164973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 RESEARCH PKWY STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201094",
            "telephone_number": "719-599-5083",
            "fax_number": "719-599-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 RESEARCH PKWY STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201094",
            "telephone_number": "719-599-5083",
            "fax_number": "719-599-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPEL HILLS VISION P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2024-04-22",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "BRUEGGEMANN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-599-5083"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04005476",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Chantler, BT
• Chaotic Minds
• Chapel Hills Orthodontic Center Professionall LLC
• Chapel Hills Vision Development Center Inc
• Chapel Hills Vision P C
• Robyn Chapel, LCSW
• Carolina Chapellin, DDS
• Chloe Chapin
• Rhyann Chapin
• Diane Chapman, RBT

• Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.