LONGMONT EYECARE, PLLC (NPI# 1104344894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104344894 |
| Entity Type | Organization |
| Organization Name | LONGMONT EYECARE, PLLC |
| Practice Address |
2285 E Ken Pratt Blvd Longmont CO 80504-5223 |
| Practice Telephone | 7206520455 |
| Mailing Telephone | 7206520455 |
| Mailing Fax Number | 3035323269 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | GRACE KIM (OPTOMETRIST/CEO) |
| Authorized Official Telephone | 7206520455 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0003344 | CO | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Longmont Eyecare, PLLC | 2285 E Ken Pratt Blvd, Longmont, CO 80504 |
| Street Address |
2285 E KEN PRATT BLVD |
| City | LONGMONT |
| State | CO |
| Zip Code | 80504-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104843465 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2285 E Ken Pratt Blvd, Longmont, CO 80504-5223 | 2006-07-16 |
| 1043873938 | Madison Aaberg | Pharmacist | 2285 E Ken Pratt Blvd, Longmont, CO 80504-5223 | 2019-04-17 |
| 1356904429 | Michael Leaming | Pharmacist | 2285 E Ken Pratt Blvd, Longmont, CO 80504-5223 | 2019-04-15 |
| 1891073458 | Kristina Marie Johnson | Optometrist | 2285 E Ken Pratt Blvd, Longmont, CO 80504-5223 | 2011-08-01 |
| 1467742890 | Dr Emily Baker & Associates, PC | Optometrist | 2285 E Ken Pratt Blvd, Longmont, CO 80501 | 2011-04-19 |
| 1760648497 | Grace J Kim | Optometrist | 2285 E Ken Pratt Blvd, Longmont, CO 80504-5223 | 2008-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776620 | Cinde S Yoho | Social Worker | 9485 County Road 15, Firestone, CO 80504 | 2018-10-19 |
| 1427544881 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 310 Lashley St Ste 109, Longmont, CO 80504 | 2018-07-09 |
| 1962913962 | Melissa Frick | Counselor | 10184 E I-25 Frontage Rd, Firestone, CO 80504 | 2017-10-17 |
| 1558757260 | Firestone Pediatric Dentistry and Orthodontics | Dentist | 8301 Colorado Blvd, Suite 200, Firestone, CO 80504 | 2015-04-09 |
| 1912392671 | Ashley Lerwick | Speech-Language Pathologist | 11169 Interstate I25 Frontage Rd, Firestone, CO 80504 | 2015-03-31 |
| 1780077685 | Roger Leon Jorgensen | Ophthalmology | 14222 N 95 Si, Longmont, CO 80504 | 2015-03-17 |
| 1982942090 | Carrie Rose Fitzekam | Technician | 712 Tanagers Circle, Longmont, CO 80504 | 2013-01-24 |
| 1003166976 | Jennifer Lynn Mcnerney | Speech-Language Pathologist | 8197 Miller Dr, Frederick, CO 80504 | 2012-09-18 |
| 1821343450 | Allison Luellen | Physician Assistant | 8350 Colorado Blvd, Suite 160, Firestone, CO 80504 | 2012-07-19 |
| 1609132109 | Abby Elizabeth Bohall | Speech-Language Pathologist | 5132 Mt Buchanan Ave, Frederick, CO 80504 | 2012-04-09 |
| Find all providers in zip 80504 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710340211 | Rachel A Schreiber | Optometrist | 8900 Prairie Knoll Dr, Longmont, CO 80503 | 2016-04-01 |
| 1891179669 | Hafezzadeh Vision LLC | Optometrist | 1610 Pace St Unit 600, Longmont, CO 80504-2240 | 2015-07-11 |
| 1134400054 | Justin Daniel Deal | Optometrist | 1200 S Hover St, Longmont, CO 80501-7902 | 2011-09-06 |
| 1740588524 | Dr. Emily Baker & Associates, PC | Optometrist | 800 S Hover Rd, Longmont, CO 80501-7943 | 2011-03-03 |
| 1558673392 | Jennifer Everett | Optometrist | 800 S Hover St, #34, Longmont, CO 80501-7943 | 2010-07-09 |
| 1811125636 | Sarah Lyn Spieler | Optometrist | 1739 N Main St, Longmont, CO 80501-2035 | 2009-07-01 |
| 1295963320 | Neka Hafezzadeh | Optometrist | 1610 Pace St, Suite 600, Longmont, CO 80504-2238 | 2009-06-26 |
| 1730387374 | Rachel Amelia Potter | Optometrist | 2080 Main St, Longmont, CO 80501-1916 | 2007-07-05 |
| 1518088285 | Steven J Onorato, O.d. P.C. | Optometrist | 1250 S Hover St, Longmont, CO 80501-7939 | 2007-04-02 |
| 1417017302 | Kevin C Cottrell | Optometrist | 1325 Dry Creek Dr Ste 104, Longmont, CO 80503 | 2006-12-11 |
| Find all providers in LONGMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.