Organization Active NPI

Complete Family Eyecare Inc

  • Optometrist
  • Dillon, CO
National Provider Identifier
1710129218
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2205 Issued in CO
Legal business name
COMPLETE FAMILY EYECARE INC
Practice address
324 US Hwy 6
Ste M
Dillon, CO 80435-3728
Phone
(970) 262-9272
Fax
(970) 262-7512
NPI assigned
Mar 30, 2009
Last updated
Feb 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Christena Ward, O.D.NPI 1871679365
Title
Optometrist/Principal
Phone
(970) 262-9272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2205 CO Primary

Addresses

Primary practice location

324 US Hwy 6
Ste M
Dillon, CO 80435-3728

Mailing address

PO Box 3728
Dillon, CO 80435-3728
Phone (970) 262-9272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090421000192 CO Part B Supplier - Clinic/Group Practice 3870640345 Receives reassigned benefits from 3 practitioners
Practice locations: Frisco, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1710129218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3728",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "804353728",
            "telephone_number": "970-262-9272",
            "fax_number": "970-262-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 US HWY 6",
            "address_2": "STE M",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "804353728",
            "telephone_number": "970-262-9272",
            "fax_number": "970-262-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CHRISTENA",
        "authorized_official_title_or_position": "OPTOMETRIST/PRINCIPAL",
        "authorized_official_telephone_number": "970-262-9272",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.