Eyes on Breckenridge, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

CO1437 Issued in CO

Legal business name

EYES ON BRECKENRIDGE, INC

Practice address

216 South Main St.
Suite 2
Breckenridge, CO 80424-4654

Phone

(970) 453-6910

Fax

(970) 547-5865

NPI assigned

Dec 29, 2009

Organization subpart

No

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

Authorized official

Name

Daniel Giovagnoli, O.D.NPI 1518928985

Title

President

Phone

(970) 453-6910

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.

• Daniel Keith Giovagnoli, O.D.

  • Optometrist
  • Eagle, CO
  • NPI 1518928985
  Medicare reassignment Care Compare group NPD Authorized official
• Dustin Clark Anderson, O.D.

  • Optometrist
  • Breckenridge, CO
  • NPI 1669442661
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1851621767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4654",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804244654",
            "telephone_number": "970-453-6910",
            "fax_number": "970-547-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SOUTH MAIN ST.",
            "address_2": "SUITE 2",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804244654",
            "telephone_number": "970-453-6910",
            "fax_number": "970-547-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON BRECKENRIDGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "GIOVAGNOLI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-453-6910",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO1437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drdental PLLC
• Eleanor M Duncan, PT, DPT
• William Paul Elsass, M.D.
• Amy Beth Enderlin
• Kristin Jennifer Esber
• Kimberly Eytel, P.T.
• Robert Rian Faucett, DDS
• Feel Awesomer, LLC
• Abigail Ferguson, LPC
• Shari J. Fitzgerald, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.