Eklund Optometric Group

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

2211 Issued in CO

Legal business name

EKLUND OPTOMETRIC GROUP

Practice address

8251 Wellington Blvd
Unit 1
Wellington, CO 80549-3255

Phone

(970) 568-7161

Fax

(970) 568-7074

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Larry Eklund, O.D.NPI 1831151414

Title

Owner

Phone

(970) 568-7161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wellington Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry L Eklund, O.D.

  • Corneal and Contact Management Optometrist
  • Wellington, CO
  • NPI 1831151414
  Medicare reassignment NPD Authorized official
• Marc A Provencher, O.D.

  • Optometrist
  • Fort Collins, CO
  • NPI 1184794745

  Corneal and Contact Management

  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1871789065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805490350",
            "telephone_number": "970-568-7161",
            "fax_number": "970-568-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 WELLINGTON BLVD",
            "address_2": "UNIT 1",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805493255",
            "telephone_number": "970-568-7161",
            "fax_number": "970-568-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKLUND OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "EKLUND",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-568-7161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "2211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89350341",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellington Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David J Pringle, DMD PLLC
• Rebecca Dawson, LMT, FNLP
• DKM, Inc.
• Michelle Janaye Doucet, CPFS, QBHA
• Taylor C Doucet
• Larry L Eklund, O.D.
• Epiphany Wellness LLC
• Sara Jane Fieldson, LCSW & LAC
• Geraldine Fitzpatrick, RRT
• Chelsea Freeman, M.S.

• Corneal and Contact Management Optometrist in Wellington, CO
• Providers in Wellington, CO by specialty
• Corneal and Contact Management Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.