Organization Active NPI

Eye Care of Colorado, P.C.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1730374141
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2253 Issued in CO
Legal business name
EYE CARE OF COLORADO, P.C.
Practice address
750 Citadel Dr E
Suite 3128
Colorado Springs, CO 80909-5327
Phone
(719) 550-0300
Fax
(719) 574-4755
NPI assigned
Sep 10, 2007
Last updated
Sep 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Mimi T. NG, O.D.NPI 1710085840
Title
Optometrist
Phone
(714) 478-6645

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2253 CO Primary

Addresses

Primary practice location

750 Citadel Dr E
Suite 3128
Colorado Springs, CO 80909-5327

Mailing address

727 Bear Paw LN S
Colorado Springs, CO 80906
Phone (714) 478-6645

National Provider Directory

National Provider Directory
Tax ID family
Eye Care of Colorado PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

750 Citadel Dr E
Ste 3128
Colorado Springs, CO 80909
Phone (719) 550-0300

Practitioners & affiliated clinicians

Practitioners 1

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": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1730374141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 BEAR PAW LN S",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "714-478-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CITADEL DR E",
            "address_2": "SUITE 3128",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095327",
            "telephone_number": "719-550-0300",
            "fax_number": "719-574-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE OF COLORADO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "MIMI",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "714-478-6645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2253",
            "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 Sep 10, 2007; 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.