Roaring Fork Vision PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ROARING FORK VISION PLLC

Practice address

341 Market St
Basalt, CO 81621-7409

Phone

(970) 927-2020

NPI assigned

Mar 2, 2021

Last updated

Mar 2, 2021By 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

Jonathan Owens, ODNPI 1336142793

Title

Owner

Phone

(970) 927-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

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.

• Jonathan Daniel Owens, OD

  • Optometrist
  • Edwards, CO
  • NPI 1336142793
  Medicare reassignment Care Compare group NPD Authorized official
• Timothy J Bauer, OD

  • Optometrist
  • Basalt, CO
  • NPI 1215014204
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1841885894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27257",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802270257",
            "telephone_number": "970-927-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MARKET ST",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816217409",
            "telephone_number": "970-927-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROARING FORK VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-927-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannine T Rembold, OTR-L, CHT
• Marnie Richard, PSY.D.
• Roaring Fork Dermatology Inc PC
• Roaring Fork Neurology, P.C. (Bluebird Neurology)
• Roaring Fork Physical Therapy, PC
• Marcey Robinson, MS, RD, CDE, BC-ADM
• Rocky Mountain Youth Medical & Nursing Consultants Inc
• Rocky Mountain Youth Medical and Nursing Consultants, Inc (Every Child Pediatrics)
• Jarid Patrick Rollins, LCSW
• Herschel Ross, HERSCHEL ROSS DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.