ROCKY MOUNTAIN EYE CENTER INC A COLORADO PROVIDER NETWORK (NPI# 1275695827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275695827 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN EYE CENTER INC A COLORADO PROVIDER NETWORK |
| Practice Address |
102 Santa Fe Ave La Junta CO 81050-1523 |
| Mailing Address |
27 Montebello Rd Pueblo CO 81001-1236 |
| Practice Telephone | 7193848719 |
| Practice Fax Number | 7193848738 |
| Mailing Telephone | 7195451530 |
| Mailing Fax Number | 7195452899 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | MR. DAVID ALDAG (ADMINISTRATOR) |
| Authorized Official Telephone | 7195451530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | ANTHEM BLUE CROSS BLUE SHIELD | ROK0008 | 01 |
| CO | U S. DEPARTMENT OF LABOR | 608439600 | 01 |
| CO | 04009478 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750411062 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Eyewear Supplier (Equipment, not the service) | 1801 Hospital Dr, Raton, NM 87740-2032 | 2007-03-06 |
| 1508928565 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 2509 Main St, Alamosa, CO 81101-2239 | 2006-12-15 |
| 1740342708 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 515 E 1st St, Salida, CO 81201-2805 | 2006-12-15 |
| 1699837658 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 3954 Sandalwood Ln, Pueblo, CO 81005-2586 | 2006-12-15 |
| 1336213610 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-11-20 |
| 1073567459 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 27 Montebello Rd, Pueblo, CO 81001-1236 | 2006-05-20 |
| Street Address |
102 SANTA FE AVE |
| City | LA JUNTA |
| State | CO |
| Zip Code | 81050-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942614813 | David Mitchel Brown | Optometrist | 102 Santa Fe Ave, La Junta, CO 81050-1523 | 2014-06-18 |
| 1417012956 | Sherry Lynne Shepherd | Optometrist | 102 Santa Fe Ave, La Junta, CO 81050-1523 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2315 San Juan Avenue, La Junta, CO 81050 | 2020-04-22 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1164945127 | Susan Ann Workman | Clinical Nurse Specialist | 13 West Third Street, Room 111, La Junta, CO 81050 | 2017-07-21 |
| 1952774465 | Ryan T Anderson Ddc PC | Clinic/Center | 13 E 4th St., La Junta, CO 81050 | 2015-11-05 |
| 1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
| 1902287329 | Shanna Kay Riley | Case Manager/Care Coordinator | 711 Barnes Ave., La Junta, CO 81050 | 2015-06-11 |
| 1548668593 | Joseph Wayne Lee | Licensed Practical Nurse | 1203 Holt Ln, Lajunta, CO 81050 | 2014-12-08 |
| 1730506809 | Down To Earth Dentistry, LLC. | Dentist | 17 W. 4th St., La Junta, CO 81050 | 2014-03-26 |
| 1154668275 | Arkansas Valley Hearing Center, Inc | Hearing Aid Equipment | 408 West 3rd St, La Junta, CO 81050 | 2013-01-09 |
| 1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
| Find all providers in zip 81050 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049266 | Mbo Vision, Inc | Eyewear Supplier (Equipment, not the service) | 18148 W 92nd Ln, Suite 400, Arvada, CO 80007-8164 | 2020-09-24 |
| 1992311062 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 6378 Promenade Pkwy # A100, Castle Rock, CO 80108-1910 | 2020-09-23 |
| 1013522010 | Western States Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1268 Interquest Pkwy Ste 120, Colorado Springs, CO 80921-4209 | 2020-09-15 |
| 1669006896 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1750 29th St Unit 1046, Boulder, CO 80301-1027 | 2020-02-26 |
| 1023651015 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14535 Delaware St, Westminster, CO 80023-9175 | 2019-10-22 |
| 1609426121 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1805 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-4027 | 2019-09-17 |
| 1174178016 | Sowash Optometry Group, P.C. | Eyewear Supplier (Equipment, not the service) | 4765 Front St Ste D, Castle Rock, CO 80104-7938 | 2019-08-07 |
| 1588140180 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1805 Blake St Ste H-2, Denver, CO 80202-1227 | 2018-07-17 |
| 1780182618 | Sowash Optometry Group, P.C. | Eyewear Supplier (Equipment, not the service) | 4918b Thompson Pkwy, Johnstown, CO 80534-6425 | 2018-01-25 |
| 1518475177 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3000 E 1st Ave Ste 168, Denver, CO 80206-5640 | 2018-01-17 |
| Find all providers with the same taxonomy | ||||
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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.