Hero Vision of Commerce City LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HERO VISION OF COMMERCE CITY LLC

Practice address

3630 E Parkway Dr
Ste 160
Commerce City, CO 80022

Phone

(720) 795-7077

NPI assigned

Nov 25, 2020

Organization subpart

Yes

Parent organization

HERO VISION OF COMMERCE CITY LLCAs reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• Adventure Vision Doing business as

Tax ID family

Hero Vision of Commerce City LLC2 organizations share this tax ID, including this one

Part of

Hero Vision of Commerce City LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hero Vision of Commerce City LLC

  • Optometrist
  • Commerce City, CO
  • NPI 1154975472
  NPD tax ID

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.

• Hero Vision of Commerce City LLC

  • Optometrist
  • Commerce City, CO
  • NPI 1154975472
  NPPES parent name

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": "1982208435",
    "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": "3630 E PARKWAY DR",
            "address_2": "STE 160",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "80022",
            "telephone_number": "720-795-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO VISION OF COMMERCE CITY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERO VISION OF COMMERCE CITY 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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000176673",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elide Hernandez, PTA
• Miguel Angel Hernandez, PT, DPT
• Hero Dental of Commerce City PC
• Hero Dental of Commerce City PC
• Hero Vision of Commerce City LLC
• Amber Nicole Herring, LMFT, LAC
• Rebekah Hershey
• Tcua Mindy Heu
• High Plains Eye Care Inc
• Sierra Hilbrands

• All providers in Commerce City, CO
• Optometrist in Colorado

• 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.

Verify at the official NPI Registry.