Eyes Only Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYES ONLY VISION CARE LLC

Practice address

2464 Hwy 6 & 50
Suite 110
Grand Junction, CO 81505

Phone

(970) 241-9299

Fax

(970) 241-1191

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bonnie Jean Fiske, OD

Title

Co Owner

Phone

(970) 241-9299

Specialties & licenses 2

Addresses

Other names 1

• Eyes First Vision Care LLC Former legal business name

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201305600000",
    "number": "1659318541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 HWY 6 & 50",
            "address_2": "SUITE 110",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81505",
            "telephone_number": "970-241-9299",
            "fax_number": "970-241-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 HWY 6 & 50",
            "address_2": "SUITE 110",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81505",
            "telephone_number": "970-241-9299",
            "fax_number": "970-241-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ONLY VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-01-26",
        "status": "A",
        "authorized_official_last_name": "FISKE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "970-241-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes First Vision Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2008; 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.