Achziger Vision Center
Organization Active NPI Clinic/Center · Greeley, CO
NPI 1659544591 · NPPES record last updated Jan 24, 2013
Key facts
- NPI
- 1659544591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew Alan Achziger, O.D.
- Title
- Manager/Member
- Phone
- (970) 339-9855
Practitioners 4
-
Andrew Alan Achziger, O.D.
-
Emily Rose Moody, OD
-
Peyton Turner, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040915000455 | CO | Part B Supplier - Clinic/Group Practice | 9830166156 |
Receives reassigned benefits from 1 practitioner Practice locations: Greeley, CO |
National Provider Directory
Locations
7251 W 20th St
Unit A
Greeley, CO 80634
Phone (970) 330-6075
1713 61st Ave
Ste 101
Greeley, CO 80634
Phone (970) 339-9855
2024 Wilma Rudolph Blvd
Ste C
Clarksville, TN 37040
Phone (931) 551-3031
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05906016 | Medicaid | CO |
Other names
- Mountain Vista VisionClinic and Optical
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.