Organization Active NPI

Visiting Ancillary Services, Inc

  • Optometrist
  • Thornton, CO
National Provider Identifier
1730722000
Registry record updated Oct 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISITING ANCILLARY SERVICES, INC
Practice address
550 Thornton Pkwy
Thornton, CO 80229-2100
Phone
(303) 650-5800
Fax
(303) 650-5801
NPI assigned
Oct 19, 2019
Last updated
Oct 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2019

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

Authorized official

Name
Lisa Vasquez
Title
Coo
Phone
(303) 650-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

550 Thornton Pkwy
Thornton, CO 80229-2100

Mailing address

550 Thornton Pkwy
Thornton, CO 80229-2100
Phone (303) 650-5800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200609000932 CO Part B Supplier - Clinic/Group Practice 9032542048 Receives reassigned benefits from 2 practitioners
Practice locations: Thornton, CO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Visiting Ancillary Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

550 Thornton Pkwy
Thornton, CO 80229
Phone (303) 254-8430

550 Thornton Pkwy
Unit 240B
Thornton, CO 80229
Phone (303) 650-5800

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": "1571443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571443200000",
    "number": "1730722000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 THORNTON PKWY",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292100",
            "telephone_number": "303-650-5800",
            "fax_number": "303-650-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 THORNTON PKWY",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292100",
            "telephone_number": "303-650-5800",
            "fax_number": "303-650-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING ANCILLARY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-19",
        "last_updated": "2019-10-19",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "303-650-5800"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2019; 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.