NPIMap

Organization Active NPI

Eye Associates of Colorado Springs, PC

  • Ophthalmology Physician
  • Colorado Springs, CO
National Provider Identifier
1982655767
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE ASSOCIATES OF COLORADO SPRINGS, PC
Practice address
2770 N. Union Blvd.
Suite 240
Colorado Springs, CO 80909
Phone
(719) 471-2020
Fax
(719) 633-7379
NPI assigned
May 15, 2006
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Ashley Lynne Hernandez
Title
Coa
Phone
(719) 484-8218

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

2770 N. Union Blvd.
Suite 240
Colorado Springs, CO 80909

Mailing address

2770 N. Union Blvd.
Suite 240
Colorado Springs, CO 80909
Phone (719) 471-2020

Other identifiers 1

IdentifierTypeStateIssuer
04958088MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000339 CO Part B Supplier - Clinic/Group Practice 6305735952 Receives reassigned benefits from 16 practitioners
1 other NPI on this enrollment
Practice locations: Alamosa, CO; Buena Vista, CO; Colorado Springs, CO; Pueblo, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1096244Eye Associates of Colorado Springs2770 N Union Blvd, Suite 240, Colorado Springs, CO 80909Certificate of waiverFeb 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Eye Associates of Colorado Springs PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2770 N Union Blvd
Ste 240
Colorado Springs, CO 80909
Phone (719) 471-2020

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1982655767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 N. UNION BLVD.",
            "address_2": "SUITE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-471-2020",
            "fax_number": "719-633-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 N. UNION BLVD.",
            "address_2": "SUITE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-471-2020",
            "fax_number": "719-633-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF COLORADO SPRINGS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "COA",
        "authorized_official_telephone_number": "719-484-8218"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04958088",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.