Pine Creek Vision Center, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1380 Issued in CO

Legal business name

PINE CREEK VISION CENTER, P.C.

Practice address

9475-A Briar Village PT
Suite 200
Colorado Springs, CO 80920-7902

Phone

(719) 594-2020

Fax

(719) 694-8562

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Casey JohnstonNPI 1285997924

Title

Owner/ Doctor

Phone

(719) 594-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 4

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

• Casey Johnston, O.D.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1285997924
  Medicare reassignment Care Compare group NPD Authorized official
• Kassaundra Lee Johnston, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1447513965

  CO

  Medicare reassignment Care Compare group NPD
• Michael H Saxerud, O.D.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1407812118
  Medicare reassignment NPD
• Steven Patrick Clancy, O.D.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1619966504
  Medicare reassignment

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1932477627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475-A BRIAR VILLAGE PT",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207902",
            "telephone_number": "719-594-2020",
            "fax_number": "719-694-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475-A BRIAR VILLAGE PT",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207902",
            "telephone_number": "719-594-2020",
            "fax_number": "719-694-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE CREEK VISION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "719-594-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DU0051",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Van Nguyen Pillay
• Kena Lizbeth Pina, RN
• Kylie Pina, RN, BSN, IBCLC
• Veronica Williams Pinckney-Shaw
• Pine Creek Imaging, LLC
• Pine Ridge Family Medicine Inc
• Pine Top Orthodontics PC
• Chelsea Louise Pine, PTA
• Abimael Pineda Torres
• Angel Pineda

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.