NPIMap

Organization Active NPI

Your Child'S Eyes, LLC

  • Pediatric Optometrist
  • Pueblo, CO
National Provider Identifier
1801029210
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
1462 Issued in CO
Legal business name
YOUR CHILD'S EYES, LLC
Practice address
900 Indiana Ave Ste D
Pueblo, CO 81004-3767
Phone
(719) 561-2812
Fax
(719) 561-2056
NPI assigned
Sep 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Dr. Michael Gilbert Pharris Jr., OD
Title
Member/Owner
Phone
(719) 561-2812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WP0200X 1462 CO Primary

Addresses

Primary practice location

900 Indiana Ave Ste D
Pueblo, CO 81004-3767

Mailing address

900 Indiana Ave Ste D
Pueblo, CO 81004-3767
Phone (719) 561-2812

National Provider Directory

National Provider Directory
Tax ID family
Your Child'S Eyes LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1801029210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 INDIANA AVE STE D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043767",
            "telephone_number": "719-561-2812",
            "fax_number": "719-561-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 INDIANA AVE STE D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043767",
            "telephone_number": "719-561-2812",
            "fax_number": "719-561-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CHILD'S EYES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "PHARRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "719-561-2812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CO",
            "license": "1462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.