Rockrimmon Vision Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

CO1973 Issued in CO

Legal business name

ROCKRIMMON VISION CLINIC

Practice address

6005 Delmonico Drive
Suite 140
Colorado Springs, CO 80919-2264

Phone

(719) 522-9393

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Jerry A. Hendricks, ODNPI 1730165275

Title

President

Phone

(719) 522-9393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 7

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.

• Jerry Allen Hendricks, O.D.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1730165275
  Medicare reassignment Care Compare group NPD Authorized official
• Keely M Knoche, OD

  • Optometrist
  • Colorado Springs, CO
  • NPI 1992790216
  Medicare reassignment Care Compare group NPD
• Alexandria A Starr, OD

  • Optometrist
  • Colorado Springs, CO
  • NPI 1649767492
  Medicare reassignment Care Compare group NPD
• Thomas A Wilson, OD

  • Optometrist
  • Colorado Springs, CO
  • NPI 1720073968
  Medicare reassignment NPD
• Nicole Bergamo, O.D.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1306906771
  NPD (past)
• Carl Starck Johnson, MD

  • Ophthalmology Physician
  • Parker, CO
  • NPI 1851320485
  NPD (past)
• Matthew A Miller, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Colorado Springs, CO
  • NPI 1861804825
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1871705707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 DELMONICO DRIVE",
            "address_2": "SUITE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192264",
            "telephone_number": "719-522-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 DELMONICO DRIVE",
            "address_2": "SUITE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192264",
            "telephone_number": "719-522-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKRIMMON VISION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-522-9393",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO1973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Rockhold, ANP
• Melissa J Rockhold, AGAC- NPC
• Rockport Partners, LLC (BrightStar Care of Colorado Springs)
• Rockrimmon Chiropractic LLC
• Rockrimmon Integrated Medical, LLC
• Sara Jane Rocks, DENTAL ASSISTANT
• Rocksolid Care Inc. (Ellie Mental Health)
• Rocksolid Care Inc. (Ellie Mental Health)
• Rocksolid Care Inc.
• Sheri Nielsen Rockwood, PMHNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.