Poudre Valley Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

POUDRE VALLEY EYECARE LLC

Practice address

1820 S College Ave Ste B
Fort Collins, CO 80525-1423

Phone

(970) 493-6360

Fax

(970) 493-0286

NPI assigned

Sep 20, 2018

Last updated

Sep 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric Torgerson, ODNPI 1225200454

Title

Owner/Optometrist

Phone

(970) 631-1699

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 4

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.

• Eric Michael Torgerson, O.D.

  • Optometrist
  • Fort Collins, CO
  • NPI 1225200454
  Medicare reassignment Care Compare group NPD Authorized official
• Christine Shukis, OD

  • Optometrist
  • Fort Collins, CO
  • NPI 1235640368
  Medicare reassignment Care Compare group NPD
• Kyle Kram, OD

  • Optometrist
  • Saginaw, MI
  • NPI 1265089718

  CO

  Medicare reassignment Care Compare group NPD
• Mickenzie Michael Howard, OD

  • Optometrist
  • Fort Collins, CO
  • NPI 1699696260
  NPD

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1699259143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 S COLLEGE AVE STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251423",
            "telephone_number": "970-493-6360",
            "fax_number": "970-493-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 S COLLEGE AVE STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251423",
            "telephone_number": "970-493-6360",
            "fax_number": "970-493-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POUDRE VALLEY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "TORGERSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "970-631-1699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poudre Canyon Rehabilitation and Nursing, LLC
• Poudre Drug Company
• Poudre Infusion Therapy LLC
• Poudre Infusion Therapy LLC
• Poudre School District R-1
• Poudre Valley Health Care Inc
• Poudre Valley Health Care Inc
• Poudre Valley Health Care Inc
• Poudre Valley Health Care Inc (Poudre Valley Hospital)
• Poudre Valley Health Care Inc. (Poudre Valley Hospital)

• 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 Sep 20, 2018; 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.