Eye Center Optical Of Northern Colorado LLC
Optometrist in Fort Collins, CO. Organization (NPI-2).
NPI number1790741908
StatusActive
Last updated in NPPESMar 2, 2022
Details
- NPI
- 1790741908
- Entity type
- Organization (NPI-2)
- Legal business name
- Eye Center Optical Of Northern Colorado LLC
- Organization subpart
- No
- Enumeration date
- Apr 25, 2006
- Certification date
- Mar 2, 2022
- Last updated
- Mar 2, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 | – | – | Yes |
Practice location
1725 E Prospect RdFort Collins, CO 80525-1307
Phone 970-221-2222 · Fax 970-221-4286
Mailing address
1725 E Prospect RdFort Collins, CO 80525-1307
Phone 970-221-2222 · Fax 970-221-4286
Authorized official
Cheryl Barber
Provider Services Manager
9702212222
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