Premier Eye Surgery Center of Colorado, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PREMIER EYE SURGERY CENTER OF COLORADO, LLC

Doing business as

Premier Eye Surgery Center

Practice address

1050 W. South Boulder Road
Lafayette, CO 80026

Phone

(303) 730-0066

NPI assigned

Apr 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Brian Nichols, MD, PHDNPI 1699727172

Title

Manager

Phone

(303) 882-3015

Specialties & licenses 1

Addresses

Other names 1

• Premier Eye Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Premier Eye Surgery CenterCCN 06C0001179

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Boulder Community Health

  dba Community Medical Assoc of BCH

  • Primary Care Clinic/Center
  • Longmont, CO
  • NPI 1083260715

  Member Of

  NPD member

Locations

Practitioners 1

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

• Brian Nichols, M.D. PH.D.

  • Ophthalmology Physician
  • Boulder, CO
  • NPI 1699727172
  NPD Authorized official

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1912460015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W SOUTH BOULDER ROAD",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "80026",
            "telephone_number": "303-604-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W. SOUTH BOULDER ROAD",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "80026",
            "telephone_number": "303-730-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EYE SURGERY CENTER OF COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-882-3015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Power
• Patrick William Prag, LPC
• Laurel Anne Pramuk, M.D.
• Christy Lee Pratt, PHARMD
• Douglas Keith Pratt, MSW
• Carolyn Beth Preston, MSW
• Jill S Price, IBCLC, RN, BSN
• Becky A Pritchett, NP
• Ruth A Prochaska-Jackman
• Professional Dental Group

• Ambulatory Surgical Clinic/Center in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.