Victoria Pena, ABOC, NCLEC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

220404 Issued in NU

Practice address

1300 Barlow Rd
Fort Morgan, CO 80701-4363

Phone

(970) 542-2291

Fax

(970) 542-2294

NPI assigned

May 18, 2023

Last updated

May 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1689365637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BARLOW RD",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807014363",
            "telephone_number": "970-542-2291",
            "fax_number": "970-542-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BARLOW RD",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807014363",
            "telephone_number": "970-542-2291",
            "fax_number": "970-542-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "VICTORIA",
        "credential": "ABOC, NCLEC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "NU",
            "license": "220404",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": "220404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Dee Pataluna
• Brita Pate
• Alexandria N Peck, LCSW
• Alexandria Pekarek, PA-C
• Amy Pemberton
• Brooke Penn, OD
• Juan Perez-Alonzo
• Jonathon Perez
• Dawn Peters
• PHC Fort Morgan Inc (Colorado Plains Medical Center)

• Optician in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Optician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.