Vishwa Sheoran

Optometrist in Fort Carson, CO. Individual provider (NPI-1).

NPI number1609618693

StatusActive

Last updated in NPPESJul 18, 2024

Details

NPI: 1609618693
Entity type: Individual (NPI-1)
Name: Vishwa Sheoran
Sex: Male
Sole proprietor: Yes
Enumeration date: Jun 10, 2024
Certification date: Jul 18, 2024
Last updated: Jul 18, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - OPTOMETRY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	OPT.0004058	CO	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

6110 Martinez St
Fort Carson, CO 80913-2048

Phone 719-368-4003

Mailing address

6110 Martinez St
Fort Carson, CO 80913-2048

Is something wrong?

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Other Optometrist providers in Fort Carson, CO

All 11 Optometrist providers in Fort Carson · All 947 providers in Fort Carson

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