Organization Active NPI

Eye to Eye Care, PC

Doing business as Eye To Eye Care

  • Optometrist
  • Highlands Ranch, CO
National Provider Identifier
1932450673
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1910 Issued in CO
Legal business name
EYE TO EYE CARE, PC
Doing business as
Eye To Eye Care
Practice address
9225 S Broadway Ste a
Highlands Ranch, CO 80129-5697
Phone
(303) 683-4466
NPI assigned
Sep 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Mansur Nurdel, O.D.NPI 1023166204
Title
President
Phone
(303) 683-4466

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1910 CO Primary

Addresses

Primary practice location

9225 S Broadway Ste a
Highlands Ranch, CO 80129-5697

Mailing address

9225 S Broadway Ste a
Highlands Ranch, CO 80129-5697
Phone (303) 683-4466

Other identifiers 1

IdentifierTypeStateIssuer
34633839MedicaidCO

Other names 1

  • Eye To Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121011000824 CO Part B Supplier - Clinic/Group Practice 5294984092 Receives reassigned benefits from 9 practitioners
Practice locations: Highlands Ranch, CO

National Provider Directory

National Provider Directory

Locations

9225 S Broadway
Ste A
Highlands Ranch, CO 80129
Phone (303) 683-4466

9225 S Broadway
Highlands Ranch, CO 80129
Phone (303) 683-4466

8737 Sheridan Blvd
Westminster, CO 80003
Phone (303) 412-2117

Practitioners & affiliated clinicians

Practitioners 9

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": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1932450673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 S BROADWAY STE A",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295697",
            "telephone_number": "303-683-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 S BROADWAY STE A",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295697",
            "telephone_number": "303-683-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE TO EYE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "NURDEL",
        "authorized_official_first_name": "MANSUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-683-4466",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34633839",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye To Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.