San Luis Valley Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SAN LUIS VALLEY EYE CARE LLC

Practice address

2921 Toupal Dr
Trinidad, CO 81082-8740

Phone

(719) 304-8330

NPI assigned

Nov 22, 2023

Organization subpart

No

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

Authorized official

Name

Thomas Micheal Huff

Title

Owner

Phone

(719) 992-2121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• San Luis Valley Eye Care LLC

  • Optometrist
  • Alamosa, CO
  • NPI 1891046652

  O20121017000103

  Same enrollment

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1659146348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1898",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811011898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 TOUPAL DR",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810828740",
            "telephone_number": "719-304-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUIS VALLEY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-992-2121"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eric Steven Sandoval Sr., CACII
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• Sangre de Cristo Community Care Hospice Trinidad

• All providers in Trinidad, CO
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.