Organization Active NPI

GVR Vision Now LLC

Doing business as GVR Vision Now

  • Optometrist
  • Aurora, CO
National Provider Identifier
1740859511
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GVR VISION NOW LLC
Doing business as
GVR Vision Now
Practice address
3464 N Salida CT
Aurora, CO 80011-5031
Phone
(303) 307-9999
NPI assigned
Jun 24, 2021
Last updated
Jun 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
Michael Robert Herrera, MBA
Title
Business Manager
Phone
(760) 978-8527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

3464 N Salida CT
Aurora, CO 80011-5031

Mailing address

2041 Pepper LN
Pueblo, CO 81005-3276
Phone (719) 733-3060

Other names 1

  • GVR VISION NOW Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006000157 CO Part B Supplier - Clinic/Group Practice 7012315039 Receives reassigned benefits from 5 practitioners
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

3464 N Salida St
Aurora, CO 80011
Phone (303) 307-9999

Practitioners & affiliated clinicians

Practitioners 7

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": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1740859511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 PEPPER LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053276",
            "telephone_number": "719-733-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 N SALIDA CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800115031",
            "telephone_number": "303-307-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GVR VISION NOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "760-978-8527",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GVR VISION NOW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.