Organization Active NPI

Natural Eyes Laser and Surgery Center, LLLP

  • Clinic/Center
  • Colo. Springs, CO
National Provider Identifier
1922090844
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
160559 Issued in CO
Legal business name
NATURAL EYES LASER AND SURGERY CENTER, LLLP
Practice address
2485 E. Pikes Peak Ave
Colo. Springs, CO 80909
Phone
(719) 634-2001
Fax
(719) 634-2211
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Dr. John R. Wright, D.O.NPI 1972595403
Title
Medical Director
Phone
(719) 634-2001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 160559 CO Primary
Ambulatory Surgical Clinic/Center 261QA1903X 0304 CO

Addresses

Primary practice location

2485 E. Pikes Peak Ave
Colo. Springs, CO 80909

Mailing address

2485 E. Pikes Peak Ave
Colorado Springs, CO 80909
Phone (719) 634-2001

Other identifiers 1

IdentifierTypeStateIssuer
01218890MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330001614 CO Part B Supplier - Ambulatory Surgical Center 1557353703 Practice locations: Colorado Springs, CO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Natural Eyes Laser and Surgery Center LLLPCCN 06C0001059
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0971135Natural Eyes Laser and Surgery Center2485 E Pikes Peak Ave, Colorado Springs, CO 80909Certificate of waiverMar 5, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1922090844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 E. PIKES PEAK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-634-2001",
            "fax_number": "719-634-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 E. PIKES PEAK AVE",
            "city": "COLO. SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-634-2001",
            "fax_number": "719-634-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL EYES LASER AND SURGERY CENTER, LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "719-634-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "160559",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "0304",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01218890",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colo. Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.