North Fork Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1335 Issued in CO

Legal business name

NORTH FORK VISION CENTER INC

Practice address

210 E. Bridge Street
Hotchkiss, CO 81419

Phone

(970) 872-2020

Fax

(970) 872-2022

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Diane E Reddin, O.D.

Title

President

Phone

(970) 872-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Fork Vision Center, PC Doing business as

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1811102759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "HOTCHKISS",
            "state": "CO",
            "postal_code": "814190658",
            "telephone_number": "970-872-2020",
            "fax_number": "970-872-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E. BRIDGE STREET",
            "city": "HOTCHKISS",
            "state": "CO",
            "postal_code": "81419",
            "telephone_number": "970-872-2020",
            "fax_number": "970-872-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FORK VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "REDDIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-872-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60733837",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Fork Vision Center, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Longitude Integrative PLLC
• Nicholas a Sampalis, DMD, PLLC.
• North Fork Ambulance Health Service District
• North Fork Ambulance Service Association Inc
• North Fork Psychological Associates
• Arti Francis Pelton, PHARMD
• Rachel'S Hope
• Diane Elaine Reddin, O.D.
• Nicholas Andrew Sampalis, DMD
• Max Dennis Scholle, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.