Tidswell Eyecare, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1184 Issued in CO

Legal business name

TIDSWELL EYECARE, INC.

Practice address

1625 E Platte Ave
Colorado Springs, CO 80909-5620

Phone

(719) 632-3561

NPI assigned

Aug 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Tidswell, O.D.

Title

Owner/Optometrist

Phone

(719) 688-3307

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1710353891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E PLATTE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E PLATTE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095620",
            "telephone_number": "719-632-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDSWELL EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "TIDSWELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "719-688-3307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Claassen Thyberg, D.O.
• Sophia Kathryn Thye, PTA
• Tibbie Rae'S Transportation LLC
• Kimberly R Tibbs, MD
• Catherine Tickle, HAD
• Jeffrey Reed Tidswell, O.D.
• Joshua Andrew Tidwell, LPC, NCC
• Amber Tiedeman, PTA, CSCS
• Prince M Tieku, PHARMD
• Gregory Carl Tietz

• Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.