Orchard Eye Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

36956 Issued in CO

Legal business name

ORCHARD EYE CENTER PC

Practice address

2403 N 12TH St
Grand Junction, CO 81501-8130

Phone

(970) 243-8697

Fax

(970) 243-8698

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kelley R Routh, CPC

Title

Billing Manager Front Off Super

Phone

(970) 243-8697

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Rae Ford Rottman, OD

  • Optometrist
  • Grand Junction, CO
  • NPI 1013086479
  NPD (past)
• Jason T Garey, O.D.

  • Optometrist
  • Grand Junction, CO
  • NPI 1801878053
  NPD (past)
• Fahara A Mawani, OD

  • Optometrist
  • Grand Junction, CO
  • NPI 1265566418
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1679634471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018130",
            "telephone_number": "970-243-8697",
            "fax_number": "970-243-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018130",
            "telephone_number": "970-243-8697",
            "fax_number": "970-243-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ROUTH",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING MANAGER FRONT OFF SUPER",
        "authorized_official_telephone_number": "970-243-8697",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2476",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "36956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZON",
            "identifier": "917805",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "634810",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "GEG9008",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01369560",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Onorato, LSW
• Marla Oppenheim, ED.S.
• Optimal Performance Physical Therapy and Coaching
• Oral Health Partners, Professional LLC
• Oral Med Solutions LLC
• Orchard Mesa Dental P.C.
• Daisy Alicia Ordonez
• Enrique Orellana Jr., D.O.
• Jessica L Orosz
• Jill Marie Orrock, MSSW, LCSW

• Specialist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.