Organization Active NPI

Achziger Vision Center

  • Clinic/Center
  • Greeley, CO
National Provider Identifier
1659544591
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ACHZIGER VISION CENTER
Practice address
1713 61St Ave
Suite 101
Greeley, CO 80634-3047
Phone
(970) 339-9855
Fax
(970) 339-9858
NPI assigned
Apr 11, 2008
Last updated
Jan 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Dr. Andrew Alan Achziger, O.D.NPI 1487603049
Title
Manager/Member
Phone
(970) 339-9855

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1713 61St Ave
Suite 101
Greeley, CO 80634-3047

Mailing address

1713 61St Ave
Suite 101
Greeley, CO 80634-3047
Phone (970) 339-9855

Other names 1

  • Mountain Vista VisionClinic and Optical Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040915000455 CO Part B Supplier - Clinic/Group Practice 9830166156 Receives reassigned benefits from 1 practitioner
Practice locations: Greeley, CO

National Provider Directory

National Provider Directory

Locations

1713 61st Ave
Ste 101
Greeley, CO 80634
Phone (970) 339-9855

7251 W 20th St
Unit A
Greeley, CO 80634
Phone (970) 330-6075

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1659544591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 61ST AVE",
            "address_2": "SUITE 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343047",
            "telephone_number": "970-339-9855",
            "fax_number": "970-339-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 61ST AVE",
            "address_2": "SUITE 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343047",
            "telephone_number": "970-339-9855",
            "fax_number": "970-339-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHZIGER VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "ACHZIGER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "970-339-9855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Vista VisionClinic and Optical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.