NPIMap

Organization Active NPI

Childrens Eye Center PC

  • Ophthalmology Physician
  • Colorado Springs, CO
National Provider Identifier
1922293760
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
42628 Issued in CO
Legal business name
CHILDRENS EYE CENTER PC
Practice address
4110 Briargate Pkwy
Suite 440
Colorado Springs, CO 80920-7835
Phone
(719) 574-1654
Fax
(719) 574-5381
NPI assigned
Sep 13, 2007
Last updated
Sep 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Dave H Lee, MDNPI 1366441206
Title
Owner Physician
Phone
(719) 574-1654

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 24447 CO
Ophthalmology Physician 207W00000X 42628 CO Primary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X NU

Addresses

Primary practice location

4110 Briargate Pkwy
Suite 440
Colorado Springs, CO 80920-7835

Mailing address

8890 N Union Blvd Ste 205
Colorado Springs, CO 80920-2701
Phone (719) 574-1654

Other identifiers 1

IdentifierTypeStateIssuer
04010674MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618000524 CO Part B Supplier - Clinic/Group Practice 5294710919 Receives reassigned benefits from 4 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

4110 Briargate Pkwy
Ste 440
Colorado Springs, CO 80920
Phone (719) 574-1654

8890 N Union Blvd
Ste 205
Colorado Springs, CO 80920
Phone (719) 574-1654

Interoperability endpoints

  • Direct secure messaging: dbancroft@cheye.intellechartdirect.net
  • Direct secure messaging: dlee@cheye.intellechartdirect.net
  • Direct secure messaging: emiller@cheye.intellechartdirect.net
  • Direct secure messaging: rmetshalgrimson@cheye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1922293760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 N UNION BLVD STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202701",
            "telephone_number": "719-574-1654",
            "fax_number": "719-574-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BRIARGATE PKWY",
            "address_2": "SUITE 440",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207835",
            "telephone_number": "719-574-1654",
            "fax_number": "719-574-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "719-574-1654",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "24447",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "42628",
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04010674",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.