NPIMap

Organization Active NPI

Bayfield Family Eye Care LLC

Doing business as Bayfield Family Eye Care

  • Optometrist
  • Bayfield, CO
National Provider Identifier
1871755041
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2532 Issued in CO
Legal business name
BAYFIELD FAMILY EYE CARE LLC
Doing business as
Bayfield Family Eye Care
Practice address
480 Wolverine Dr
# 5
Bayfield, CO 81122-9653
Phone
(970) 884-6188
Fax
(970) 884-2869
NPI assigned
Jun 30, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Jonathan E Zissman, OD
Title
Co-Owner
Phone
(970) 884-6188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2532 CO Primary

Addresses

Primary practice location

480 Wolverine Dr
# 5
Bayfield, CO 81122-9653

Mailing address

480 Wolverine Dr
# 5
Bayfield, CO 81122-9653
Phone (970) 884-6188

Other identifiers 3

IdentifierTypeStateIssuer
2532OtherCOCOPLORADO OPTOMETRIC LICENSE #
267474590OtherCOPERSONAL SS# FOR JONATHAN E ZISSMAN
1396770962OtherCOPERSONAL NPI

Other names 1

  • Bayfield Family Eye Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1871755041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 WOLVERINE DR",
            "address_2": "# 5",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811229653",
            "telephone_number": "970-884-6188",
            "fax_number": "970-884-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 WOLVERINE DR",
            "address_2": "# 5",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811229653",
            "telephone_number": "970-884-6188",
            "fax_number": "970-884-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYFIELD FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ZISSMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "970-884-6188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COPLORADO OPTOMETRIC LICENSE #",
            "identifier": "2532",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL SS# FOR JONATHAN E ZISSMAN",
            "identifier": "267474590",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1396770962",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayfield Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.