Evergreen Optometry, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EVERGREEN OPTOMETRY, PLLC

Practice address

15 Spectrum Loop
Suite 125
Colorado Springs, CO 80921

Phone

(719) 661-0287

NPI assigned

Aug 13, 2021

Last updated

Mar 30, 2022By 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. Chelsey Breanne Nolasco, ODNPI 1710120415

Title

Owner/Ceo

Phone

(719) 403-0991

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Chelsey Breanne Nolasco, O.D.

  • Optometrist
  • Fort Carson, CO
  • NPI 1710120415
  Medicare reassignment Care Compare group NPD Authorized official
• Devin Jackson

  • Optometrist
  • Colorado Springs, CO
  • NPI 1720574544
  Medicare reassignment Care Compare group NPD
• Stefan Matthew Kochis, O.D.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1326124686
  Medicare reassignment

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1801561634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63780",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809623780",
            "telephone_number": "719-403-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPECTRUM LOOP",
            "address_2": "SUITE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80921",
            "telephone_number": "719-661-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "NOLASCO",
        "authorized_official_first_name": "CHELSEY",
        "authorized_official_middle_name": "BREANNE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "719-403-0991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "concierge@evergreencos.com",
            "affiliation": "N",
            "endpointDescription": "Customer Service for all needs",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15 Spectrum Loop",
            "address_2": "Suite 125",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ever Evolving Counseling
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• Rachel Everett, B.A.
• Ralph E. Everett, M.D.
• Evergreen Chinese Medicine LLC (Evergreen Acupuncture and Chinese Medicine Clinic)
• Evergrove Therapy LLC
• Emily Everhart
• Haydan Everhart
• Melissa Evers, CNIM, R EEG T
• Everside Health, LLC (Marathon Health, Colorado Springs CO- Wall St)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.