Andrew R Adamich, OD

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

OPT.0002330 Issued in CO

Practice address

49 Mill Street
Bayfield, CO 81122

Phone

(970) 884-2020

Fax

(970) 884-2977

NPI assigned

Oct 18, 2005

Last updated

Apr 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrew R. Adamich OD Fcovd Inc

  dba Gravity Works Vision Development Center

  • Optometrist
  • Bayfield, CO
  • NPI 1780972851
  Authorized official Same address or phone
• Lifetime Eyecare PC

  • Optometrist
  • Bayfield, CO
  • NPI 1053809152
  NPD

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1740279116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 E. MAIN STREET",
            "address_2": "BUSINESS OPTIONS MEDICAL BILLING",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "81401",
            "telephone_number": "970-765-0818",
            "fax_number": "970-497-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 MILL STREET",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "81122",
            "telephone_number": "970-884-2020",
            "fax_number": "970-884-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMICH",
        "first_name": "ANDREW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2330",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "OPT.0002330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77857852",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alder Grove Health Services, Inc
• Andrew R. Adamich OD Fcovd Inc (Gravity Works Vision Development Center)
• Michael Frank Arnall, MD
• Aspen Wellness LLC
• Aspenwood Chiropractic LLC

• Vision Therapy Optometrist in Bayfield, CO
• Providers in Bayfield, CO by specialty
• Vision Therapy Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.