Eye Care for Durango, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2589 Issued in CO

Legal business name

EYE CARE FOR DURANGO, LLC

Practice address

1155 S Camino del Rio
Durango, CO 81303-6698

Phone

(970) 385-1935

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joanne W Lew-Goltz, O.D.NPI 1447224969

Title

Owner

Phone

(970) 385-1935

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanne Lew-Goltz, OD

  • Optometrist
  • Durango, CO
  • NPI 1447224969
  Medicare reassignment NPD Authorized official
• Michael B Grindstaff, OD

  • Optometrist
  • Edmond, OK
  • NPI 1649289737

  CO

  Medicare reassignment NPD

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1740471622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81302",
            "telephone_number": "970-385-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 S CAMINO DEL RIO",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036698",
            "telephone_number": "970-385-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE FOR DURANGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "LEW-GOLTZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-385-1935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaycee Evans, LMT
• Sean David Evans, LPCC, LPC
• Todd Evinrude, RPH
• Ashleigh Ewing
• Expedient Medical Service
• Agnes Marie Eytchison, FNP
• Tessa Fain, PA
• Mark David Fallon-Cyr, MD
• Maureen Fallon-Cyr, MSW
• Tracy Farmer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.