Southwest Retina Research Center, LLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

56814 Issued in CO

Legal business name

SOUTHWEST RETINA RESEARCH CENTER, LLC

Practice address

270 E 8TH Ave Ste N-101
Durango, CO 81301-5708

Phone

(970) 828-2200

Fax

(970) 828-2201

NPI assigned

Jun 7, 2018

Organization subpart

Yes

Parent organization

SOUTHWEST RETINA CONSULTANTS PCAs reported in NPPES

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

Authorized official

Name

Jennifer Batchelor

Title

Practice Administrator

Phone

(970) 828-2200

Specialties & licenses 1

Addresses

Other names 1

• Southwest Retina Research Center Doing business as

Part of

SW Retina Cons PC

Locations

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.

• Southwest Retina Consultants PC

  • Retina Specialist (Ophthalmology) Physician
  • Durango, CO
  • NPI 1346663721
  NPPES parent name

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1962995787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E 8TH AVE STE N-101",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015708",
            "telephone_number": "970-828-2200",
            "fax_number": "970-828-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E 8TH AVE STE N-101",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015708",
            "telephone_number": "970-828-2200",
            "fax_number": "970-828-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST RETINA RESEARCH CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST RETINA CONSULTANTS PC",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "BATCHELOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "970-828-2200"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CO",
            "license": "56814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Retina Research Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Southwest Retina Consultants PC
• Southwest Surgical Associates PC
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• Patricia Ann Spak
• Bradley Spargur, LPCC, LAC

• Retina Specialist (Ophthalmology) Physician in Durango, CO
• Providers in Durango, CO by specialty
• Retina Specialist (Ophthalmology) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.