Academy Vision Science Clinic PC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

OPT1190 Issued in CO

Legal business name

ACADEMY VISION SCIENCE CLINIC PC

Practice address

5955 Lehman Dr
Colorado Springs, CO 80918-3434

Phone

(719) 598-6000

Fax

(719) 785-5451

NPI assigned

Jul 27, 2006

Last updated

Mar 17, 2018By 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

Dr. James Thomas Vancamp, ODNPI 1154441350

Title

President / Owner / Optometrist

Phone

(719) 598-6000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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.

• James Thomas Vancamp, OD

  • Optometrist
  • Colorado Springs, CO
  • NPI 1154441350
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1902820582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 LEHMAN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183434",
            "telephone_number": "719-598-6000",
            "fax_number": "719-785-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 LEHMAN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183434",
            "telephone_number": "719-598-6000",
            "fax_number": "719-785-5451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5955 Lehman Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809183434",
            "country_code": "US",
            "telephone_number": "719-598-6000",
            "fax_number": "719-785-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACADEMY VISION SCIENCE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "VANCAMP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT / OWNER / OPTOMETRIST",
        "authorized_official_telephone_number": "719-598-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "OPT1190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.