Peak Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PEAK EYECARE PLLC

Practice address

3710 Main Ave Ste 203
Durango, CO 81301-4033

Phone

(970) 403-5655

Fax

(970) 403-5964

NPI assigned

Aug 7, 2021

Last updated

Aug 7, 2021By 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

Davis CapaccioliNPI 1356879944

Title

Office Manager

Phone

(970) 403-5655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 3

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.

• Davis Capaccioli, O.D.

  • Optometrist
  • Durango, CO
  • NPI 1356879944
  Medicare reassignment Care Compare group NPD Authorized official
• Simile Nguyen, OD

  • Optometrist
  • Durango, CO
  • NPI 1265329668
  Medicare reassignment Care Compare group NPD
• Anjali Nicole Paramanandam, OD

  • Optometrist
  • Shiprock, NM
  • NPI 1194401745

  CO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628294400000",
    "number": "1912671421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 MAIN AVE STE 203",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014033",
            "telephone_number": "970-403-5655",
            "fax_number": "970-403-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 MAIN AVE STE 203",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014033",
            "telephone_number": "970-403-5655",
            "fax_number": "970-403-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-07",
        "last_updated": "2021-08-07",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "CAPACCIOLI",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-403-5655"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patton Family Health
• Paul D Dvirnak MD PC
• Alexandar Paulson, DDS
• Breanna Marie Payne
• Peaceful Path Counseling LLC
• Peak Eyecare, PLLC
• Peak Labs, LLC
• Peak Physical Therapy of Durango, LLC (Peak Physical Therapy, LLC)
• Peak to Peak Counseling Services
• Peak Wellness and Nutrition Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; 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.