Alpine Eye Clinic PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35259 Issued in CO

Legal business name

ALPINE EYE CLINIC PC

Practice address

2423 E Main St
Ste 4
Cortez, CO 81321

Phone

(970) 565-8809

Fax

(970) 565-8881

NPI assigned

Feb 10, 2006

Last updated

Jun 25, 2013By 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

Mr. John G Petty, MDNPI 1881665263

Title

Owner

Phone

(970) 565-8809

Specialties & licenses 1

Addresses

Other identifiers 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.

• John G Petty, MD

  • Ophthalmology Physician
  • Cortez, CO
  • NPI 1881665263
  Authorized official Same address or phone

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1932172897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 E MAIN ST",
            "address_2": "STE 4",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "81321",
            "telephone_number": "970-565-8809",
            "fax_number": "970-565-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 E MAIN ST",
            "address_2": "STE 4",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "81321",
            "telephone_number": "970-565-8809",
            "fax_number": "970-565-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-565-8809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "35259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01352590",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aerocare Holdings, Inc (Air Options Respiratory Care)
• Kent R Aikin, MD
• Alex R. Cudkowicz, M.D.,P.C.
• Alpha Integrated Healthcare LLC
• Alpine Eye Clinic Optical, LLC
• Alta Anesthesia P. C.
• American Homepatient, Inc.
• Angelic Hands Inc. (Guardian Angel Home Health)
• Angelic Hands Inc. (Guardian Angel Home Health)
• Angelic Hands LLC

• Ophthalmology Physician in Cortez, CO
• Providers in Cortez, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.