A.T. Eyes PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2384 Issued in CO

Legal business name

A.T. EYES PC

Doing business as

Eye Logic

Practice address

123 W Hampden Ave Ste a
Englewood, CO 80110-2430

Phone

(303) 915-8642

NPI assigned

Oct 4, 2012

Last updated

Mar 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy Renee Gallegos, O.D.NPI 1396793204

Title

President/Optometrist

Phone

(303) 915-8642

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eye Logic Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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.

• Amy Renee Gallegos, O.D.

  • Optometrist
  • Englewood, CO
  • NPI 1396793204
  Medicare reassignment NPD Authorized official
• Frederick James Hurlbut Jr., OD

  • Optometrist
  • Denver, CO
  • NPI 1417912635
  NPD (past)
• Taffy J. Whiteman, O.D.

  • Optometrist
  • Westminster, CO
  • NPI 1093991903
  NPD (past)

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1780936575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W HAMPDEN AVE STE A",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102430",
            "telephone_number": "303-915-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W HAMPDEN AVE STE A",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102430",
            "telephone_number": "303-915-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.T. EYES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "303-915-8642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72137754",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "COA109554",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Logic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.