FAMILY EYE CLINIC, PC (NPI# 1467578278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467578278 |
| Entity Type | Organization |
| Organization Name | FAMILY EYE CLINIC, PC |
| Practice Address |
6881 S Yosemite St Centennial CO 80112-1406 |
| Practice Telephone | 3033938378 |
| Practice Fax Number | 7208724902 |
| Mailing Telephone | 3033938378 |
| Mailing Fax Number | 7208724902 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-07-12 |
| Authorized Official Name | MRS. SHAWN M. DEMOSS (PRACTICE MANAGER) |
| Authorized Official Telephone | 3033938378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 46954333 | 05 | |
| CO | RR MEDICARE | DD8301 | 01 |
| CO | BCBS | PA666127 | 01 |
| Street Address |
6881 S YOSEMITE ST |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80112-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588629257 | Spivack Vision Clinic PC | Ophthalmology | 6881 S Yosemite St, Centennial, CO 80112-1406 | 2006-04-18 |
| 1063019214 | Madison Street Provider Network Inc | Optometrist | 6881 S Yosemite St, Centennial, CO 80112-1406 | 2020-10-01 |
| 1427666551 | Myeyedr Optometry of Colorado PC | Optometrist | 6881 S Yosemite St, Centennial, CO 80112-1406 | 2020-07-15 |
| 1740621424 | Katie Jo Sider | Optometrist | 6881 S Yosemite St, Centennial, CO 80112-1406 | 2013-07-10 |
| 1942455670 | Raza Uddin | Optometrist | 6881 S Yosemite St, Centennial, CO 80112 | 2008-11-21 |
| 1457467896 | Kerri A Shoener | Optometrist | 6881 S Yosemite St, Centennial, CO 80112-1406 | 2006-08-21 |
| 1548376965 | Paul S Conkling | Optometrist | 6881 S Yosemite St, Centennial, CO 80112-1406 | 2006-08-21 |
| 1730144932 | Lawrence D Spivack | Ophthalmology | 6881 S Yosemite St, Centennial, CO 80112-1406 | 2006-04-19 |
| 1245295914 | Vandi Rimer | Optometrist | 6881 S Yosemite St, Centennial, CO 80112-1406 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407842628 | Jon F Pederson | Optometrist | 2275 E Arapahoe Rd, Suite 105, Centennial, CO 80122-1500 | 2005-09-22 |
| 1245497452 | John L Schachet Od PC | Optometrist | 8586 E Arapahoe Rd, Ste 100, Centennial, CO 80112-1433 | 2008-05-16 |
| 1811031859 | Jerry R. Pederson, O.d. | Optometrist | 6650 S Vine St, Suite 160, Centennial, CO 80121-2735 | 2007-02-15 |
| 1699850412 | John L Schachet | Optometrist | 8586 E Arapahoe Rd, Ste 100, Centennial, CO 80112-1433 | 2006-10-27 |
| 1548376965 | Paul S Conkling | Optometrist | 6881 S Yosemite St, Centennial, CO 80112-1406 | 2006-08-21 |
| 1346236999 | Jerry Ray Pederson | Optometrist | 6650 S Vine St, Suite 160, Centennial, CO 80121-2769 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033637046 | Alpenglow Eye Care, Pllc | Optometrist | 611 24 Rd, Grand Junction, CO 81505-1240 | 2017-08-30 |
| 1386014397 | Jeffrey B Holland Od PC | Optometrist | 1350 College Ave Unit 100, Boulder, CO 80302-7389 | 2015-10-02 |
| 1629353172 | Liz Erley | Optometrist | 3301 30th St, Boulder, CO 80301-1401 | 2011-10-17 |
| 1588860571 | Timothy L. Osius Jr. O.d. Inc. | Optometrist | 2980 Ginnala Dr., Suite A, Loveland, CO 80537-2701 | 2007-06-26 |
| 1194936401 | Ryan Thomas Smedley | Optometrist | 8405 Park Meadows Center Dr Ste 1000, Lone Tree, CO 80124-5025 | 2007-05-25 |
| 1891818316 | Superior Eye Care PC | Optometrist | 9948 W 99th Ave, Westminster, CO 80021-4298 | 2007-04-09 |
| 1639291107 | Johnna C Bontadelli | Optometrist | 917 Clydesdale Ln, Windsor, CO 80550-3135 | 2007-04-04 |
| 1164578373 | Nancy Barnard Smith | Optometrist | 1940 Greeley Mall # 27, Greeley, CO 80631-8520 | 2007-01-28 |
| 1154474187 | Kevin C. Pollard | Optometrist | 1516 Xavier St, Suite 101, Denver, CO 80204-1024 | 2007-01-21 |
| 1184794745 | Marc A Provencher | Optometrist | 4050 Timberline Rd, Suite 120, Fort Collins, CO 80525-6032 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
| City | CENTENNIAL |
| Zip Code | 80112 |
Please comment or provide details below to improve the information on FAMILY EYE CLINIC, PC.
| 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.