Organization Active NPI

Mountain Eyeworks LLC

  • Optometrist
  • Steamboat Springs, CO
National Provider Identifier
1851834923
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MOUNTAIN EYEWORKS LLC
Practice address
1755 Central Park Drive
Steamboat Springs, CO 80487
Phone
(970) 879-2595
Fax
(970) 879-8337
NPI assigned
Nov 22, 2016
Last updated
Nov 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Erica Ann Musgrove, OD/OWNERNPI 1649575226
Title
OD/Owner
Phone
(970) 879-2595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

1755 Central Park Drive
Steamboat Springs, CO 80487

Mailing address

1755 Central Park Drive
Steamboat Springs, CO 80487
Phone (970) 879-2595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170209000339 CO Part B Supplier - Clinic/Group Practice 9234412628 Receives reassigned benefits from 2 practitioners
Practice locations: Craig, CO; Steamboat Springs, CO

National Provider Directory

National Provider Directory

Locations

2 W Victory Way
Craig, CO 81625
Phone (970) 824-8307

1755 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 879-2595

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1851834923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 CENTRAL PARK DRIVE",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "80487",
            "telephone_number": "970-879-2595",
            "fax_number": "970-879-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 CENTRAL PARK DRIVE",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "80487",
            "telephone_number": "970-879-2595",
            "fax_number": "970-879-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN EYEWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "MUSGROVE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "970-879-2595",
        "authorized_official_credential": "OD/OWNER"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.