Loma Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3071 Issued in CO

Legal business name

LOMA EYE CARE, LLC

Doing business as

LOMA Eye Care

Practice address

7455 W Colfax Ave
Lakewood, CO 80214-5405

Phone

(720) 882-3414

Fax

(720) 524-8101

NPI assigned

Sep 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Charles A Gallegos, ODNPI 1609283902

Title

Optometrist

Phone

(720) 476-7971

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LOMA Eye Care Doing business as

Locations

Practitioners 1

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.

• Charles Gallegos, O.D.

  • Optometrist
  • Evans, CO
  • NPI 1609283902
  NPD Authorized official

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1831608868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W COLFAX AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145405",
            "telephone_number": "720-882-3414",
            "fax_number": "720-524-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W COLFAX AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145405",
            "telephone_number": "720-882-3414",
            "fax_number": "720-524-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "720-476-7971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67775578",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOMA Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeri A. Logan, DDS
• Melissa Tini Ngo Logan, D.M.D.
• Alicia Cecilia Logue
• Christine Logue
• Constance E Logue, RN
• Arianna Lombardi, RN
• Stephanie Lee Lombardi, DPT, PT
• Bethany R Lombardo, AGACNP-C
• Vincent Lombardo, AGNP
• Cecilia Marie Long

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.