Organization Active NPI

Colorado Vision

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1669932679
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COLORADO VISION
Practice address
353 N Academy Blvd
Colorado Springs, CO 80909-6605
Phone
(719) 574-3300
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Blake Simmons, OD
Title
President
Phone
(719) 559-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

353 N Academy Blvd
Colorado Springs, CO 80909-6605

Mailing address

320 E Fontanero St Ste 201
Colorado Springs, CO 80907-7525
Phone (719) 559-2020

Other practice location 1

8250 Razorback Rd
Colorado Springs, CO 80920-3995
Phone (719) 593-2300

National Provider Directory

National Provider Directory

Locations

353 N Academy Blvd
Colorado Springs, CO 80909
Phone (719) 559-2020

7190 N Academy Blvd
Colorado Springs, CO 80920
Phone (719) 559-2020

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1669932679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E FONTANERO ST STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077525",
            "telephone_number": "719-559-2020",
            "fax_number": "719-632-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809096605",
            "telephone_number": "719-574-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8250 Razorback Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809203995",
            "country_code": "US",
            "telephone_number": "719-593-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLORADO VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-559-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.