Rocky Mountain Eye Center, Inc. a Colorado Provider Network

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ROCKY MOUNTAIN EYE CENTER, INC. A COLORADO PROVIDER NETWORK

Practice address

2120 Freedom Rd
Trinidad, CO 81082-1210

Phone

(719) 846-9236

Fax

(719) 846-3768

NPI assigned

Feb 8, 2007

Last updated

Jan 7, 2013By 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

Ann M Hulett

Title

Administrator

Phone

(719) 545-1530

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rocky Mountain Eye Center Inc a Colorado Provider Network

  • Ophthalmology Physician
  • Pueblo, CO
  • NPI 1073567459

  O20040629000057

  Same enrollment
• Rocky Mountain Eye Center Inc a Colorado Provider Network

  • Eyewear Supplier
  • Pueblo, CO
  • NPI 1699837658

  O20040629000057

  Same enrollment
• Rocky Mountain Eye Center, Inc. a Colorado Provider Network

  • Optometrist
  • Canon City, CO
  • NPI 1831251891

  O20040629000057

  Same enrollment

Locations

Practitioners 4

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.

• Scott Adler Butikofer, M.D.

  • Ophthalmology Physician
  • Pueblo, CO
  • NPI 1184067308
  NPD
• Brandon James Tibbitts, OD

  • Optometrist
  • Alamosa, CO
  • NPI 1902184534
  NPD
• Richard B. Anderson, O.D.

  • Optometrist
  • Denver, CO
  • NPI 1821160102
  NPD (past)
• Monica L Alderette

  • Optometrist
  • Santa Fe, NM
  • NPI 1245447440
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1861533457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MONTEBELLO RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011236",
            "telephone_number": "719-545-1530",
            "fax_number": "719-545-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 FREEDOM RD",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810821210",
            "telephone_number": "719-846-9236",
            "fax_number": "719-846-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN EYE CENTER, INC. A COLORADO PROVIDER NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "HULETT",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-545-1530"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CK2008",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "ROK2008",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CQ2139",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04009478",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Charles Rath, MA, NCC, LPCC, ADDC
• Ravenswood Nursing Inc.
• Raza Uddin OD LLC
• David R. Reitter, MD
• Reliant Renal Care-Colorado, LLC (RRC Trinidad)
• William Mervin Rowland Jr., RPH
• Safeway Inc (Safeway Pharmacy #0722)
• Sally L. Fabec, M. D.
• Salud Family Health
• Salud Family Health

• Ophthalmology Physician in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.