Organization Active NPI

Eye Care Center of Colorado Springs

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1710160718
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1154 Issued in CO
Legal business name
EYE CARE CENTER OF COLORADO SPRINGS
Practice address
110 S Weber St
Colorado Springs, CO 80903
Phone
(719) 576-5844
Fax
(719) 576-6955
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Mrs. Mindi Andrade
Title
Office Manager
Phone
(719) 576-5844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1154 CO Primary

Addresses

Primary practice location

110 S Weber St
Colorado Springs, CO 80903

Mailing address

110 S Weber St
Colorado Springs, CO 80903-1908
Phone (719) 576-5844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040908000413 CO Part B Supplier - Clinic/Group Practice 3274509500 Receives reassigned benefits from 5 practitioners
Practice locations: Colorado Springs, CO
O20100930006492 CO DME Supplier - Physician - OptometristDME Supplier - Optician 3274509500 Practice locations: Colorado SPGS, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eye Care Center of Colorado Springs110 S Weber St, Colorado SPGS, CO 80903-1924(719) 576-5844 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Dec 1, 2001

National Provider Directory

National Provider Directory

Locations

110 S Weber St
Colorado Springs, CO 80903
Phone (719) 576-5844

5825 Constitution Ave
Colorado Springs, CO 80915
Phone (719) 570-7630

Practitioners & affiliated clinicians

Practitioners 6

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": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1710160718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WEBER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031908",
            "telephone_number": "719-576-5844",
            "fax_number": "719-576-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S WEBER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80903",
            "telephone_number": "719-576-5844",
            "fax_number": "719-576-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE CENTER OF COLORADO SPRINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "MINDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-576-5844",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.