Active NPI
Virginia Vision Care Assoc., L.L.C.
- Optometrist
- Loveland, CO
National Provider Identifier
1942802483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VIRGINIA VISION CARE ASSOC., L.L.C.
- Practice address
- 250 W 65TH St
Loveland, CO 80538-4668 - Phone
- (970) 381-2539
- NPI assigned
- Nov 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ewing R McClelland, OD
- Title
- Optometrist
- Phone
- (720) 825-3554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
250 W 65TH St
Loveland, CO 80538-4668
Mailing address
2416 Purdue Rd
Fort Collins, CO 80525-1711
Phone (970) 825-3554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33756236 | Medicaid | CO |
Other names 1
- Longview Eye Care
National Provider Directory
National Provider Directory- Tax ID family
- Longview Eye Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Fort Collins, CO
- NPI 1003418542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604966400000",
"number": "1942802483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2416 PURDUE RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805251711",
"telephone_number": "970-825-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W 65TH ST",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805384668",
"telephone_number": "970-381-2539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA VISION CARE ASSOC., L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A",
"authorized_official_last_name": "MCCLELLAND",
"authorized_official_first_name": "EWING",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "720-825-3554",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33756236",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Longview Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.