Organization Active NPI

Apex Vision and Wellness

  • Optometrist
  • Greeley, CO
National Provider Identifier
1982811477
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
APEX VISION AND WELLNESS
Practice address
1815 65TH Ave
Suite 3
Greeley, CO 80634-7964
Phone
(970) 330-7200
Fax
(970) 330-7201
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Dinnebeck, O.D.NPI 1518182351
Title
Optometrist
Phone
(970) 330-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1815 65TH Ave
Suite 3
Greeley, CO 80634-7964

Mailing address

1815 65TH Ave
Suite 3
Greeley, CO 80634-7964
Phone (970) 330-7200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091214000483 CO Part B Supplier - Clinic/Group Practice 4385784867 Receives reassigned benefits from 2 practitioners
Practice locations: Greeley, CO

National Provider Directory

National Provider Directory

Locations

1815 65th Ave
Unit 3
Greeley, CO 80634
Phone (970) 330-3195

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982811477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 65TH AVE",
            "address_2": "SUITE 3",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347964",
            "telephone_number": "970-330-7200",
            "fax_number": "970-330-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 65TH AVE",
            "address_2": "SUITE 3",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347964",
            "telephone_number": "970-330-7200",
            "fax_number": "970-330-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX VISION AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DINNEBECK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "970-330-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.