Active NPI
Anne Marie Pence, O.D.
- Optometrist
- Eagle, CO
National Provider Identifier
1841341799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1509
- Practice address
- 313 Chambers Ave
Unit C
Eagle, CO 81631-1076 - Phone
- (970) 328-3937
- Fax
- (970) 328-3938
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1509 | CO | Primary |
Addresses
Primary practice location
313 Chambers Ave
Unit C
Eagle, CO 81631-1076
Mailing address
PO Box 1076
313 Chambers Avenue Unit C
Eagle, CO 81631-1076
Phone (970) 328-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
313 Chambers Ave
Unit C
Eagle, CO 81631-1076
Phone (970) 328-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1509 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Valley Vision, P.C. | Optometrist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Eagle, CO
- NPI 1144494428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841341799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1076",
"address_2": "313 CHAMBERS AVENUE UNIT C",
"city": "EAGLE",
"state": "CO",
"postal_code": "816311076",
"telephone_number": "970-328-3937",
"fax_number": "970-328-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 CHAMBERS AVE",
"address_2": "UNIT C",
"city": "EAGLE",
"state": "CO",
"postal_code": "816311076",
"telephone_number": "970-328-3937",
"fax_number": "970-328-3938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENCE",
"first_name": "ANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "1509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.