Fort Collins Family Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

3174 Issued in CO

Legal business name

FORT COLLINS FAMILY EYE CARE

Practice address

373 W Drake Rd
Suite 3
Fort Collins, CO 80526-2881

Phone

(970) 233-7150

NPI assigned

Jan 6, 2016

Last updated

Jan 6, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

JACLYN A. MUNSON, OD PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Jaclyn Munson, ODNPI 1215283312

Title

Owner/Manager

Phone

(815) 735-1175

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

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.

• Jaclyn A. Munson, O.D.

  • Optometrist
  • Fort Collins, CO
  • NPI 1215283312
  Medicare reassignment Care Compare group NPD Authorized official
• Cynthia Collins, O.D.

  • Optometrist
  • Fort Collins, CO
  • NPI 1306229729
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1689030645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 W DRAKE RD",
            "address_2": "SUITE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 W DRAKE RD",
            "address_2": "SUITE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262881",
            "telephone_number": "970-233-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT COLLINS FAMILY EYE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACLYN A. MUNSON, OD PLLC",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "815-735-1175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Collins Counseling Services PLLC
• Fort Collins Dental Group, LLP (Fort Collins Dental Group)
• Fort Collins Dentist Family & Implant Dentistry PLLC
• Fort Collins Family Acupuncture
• Fort Collins Family Care
• Fort Collins Family Physicians Professional LLC
• Fort Collins Functional Movement Institute
• Fort Collins Functional Movement Institute
• Fort Collins Gonstead Chiropractic
• Fort Collins Kids Dentistry

• Optometrist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.