Eye Center Optical of Northern Colorado LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CENTER OPTICAL OF NORTHERN COLORADO LLC

Practice address

1725 E Prospect Rd
Fort Collins, CO 80525-1307

Phone

(970) 221-2222

Fax

(970) 221-4286

NPI assigned

Apr 25, 2006

Organization subpart

No

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

Authorized official

Name

Cheryl Barber

Title

Provider Services Manager

Phone

(970) 221-2222

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1790741908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251307",
            "telephone_number": "970-221-2222",
            "fax_number": "970-221-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251307",
            "telephone_number": "970-221-2222",
            "fax_number": "970-221-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER OPTICAL OF NORTHERN COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PROVIDER SERVICES MANAGER",
        "authorized_official_telephone_number": "970-221-2222"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08769739",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eye Center of Northern Colorado, P.C.
• Eye Center Optical of Northern Colorado LLC
• Eye Laser Center of Northern Colorado LLC
• Eyecare Associates, P.C.
• Eyecare Associates, P.C.
• Eyecare for You LLC

• Optometrist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.