Active NPI
HV South Denver, LLC
Doing business as Adventure Vision
- Optometrist
- Denver, CO
National Provider Identifier
1942804406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- HV SOUTH DENVER, LLC
- Doing business as
- Adventure Vision
- Practice address
- 7405 E Iliff Ave
Denver, CO 80231-5368 - Phone
- (303) 752-6692
- NPI assigned
- Nov 25, 2020
- Last updated
- Nov 25, 2020
- Organization subpart
- Yes
- Parent organization
- HV SOUTH DENVER, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shaun Urbanozo
- Title
- Credentialing Manager
- Phone
- (719) 323-2362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
7405 E Iliff Ave
Denver, CO 80231-5368
Mailing address
2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Phone (719) 576-1850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000170468 | Medicaid | CO |
Other names 1
- Adventure Vision
National Provider Directory
National Provider Directory- Tax ID family
- HV South Denver LLC
- Part of
- HV South Denver LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606262400000",
"number": "1942804406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 E BIJOU ST STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809098009",
"telephone_number": "719-576-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7405 E ILIFF AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802315368",
"telephone_number": "303-752-6692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HV SOUTH DENVER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HV SOUTH DENVER, LLC",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-23",
"status": "A",
"authorized_official_last_name": "URBANOZO",
"authorized_official_first_name": "SHAUN",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "719-323-2362"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000170468",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Adventure Vision",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.