Organization Active NPI

Chapel Hills Vision Development Center Inc

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1861617441
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHAPEL HILLS VISION DEVELOPMENT CENTER INC
Practice address
595 Chapel Hills Drive
Ste 101
Colorado Springs, CO 80920
Phone
(719) 599-5083
Fax
(719) 599-3291
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frank E Puckett, DOCTOR OF OPTOMETRY
Title
Owner Optometrist
Phone
(719) 599-5083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CO Primary

Addresses

Primary practice location

595 Chapel Hills Drive
Ste 101
Colorado Springs, CO 80920

Mailing address

595 Chapel Hills Drive
Ste 101
Colorado Springs, CO 80920
Phone (719) 599-5083

Other identifiers 1

IdentifierTypeStateIssuer
02152711MedicaidCO

National Provider Directory

National Provider Directory

Locations

595 Chapel Hills Dr
Ste 101
Colorado Springs, CO 80920
Phone (719) 244-5805

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861617441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DRIVE",
            "address_2": "STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-599-5083",
            "fax_number": "719-599-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DRIVE",
            "address_2": "STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-599-5083",
            "fax_number": "719-599-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPEL HILLS VISION DEVELOPMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "719-599-5083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR OF OPTOMETRY"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02152711",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.