MR. TERRY W CLEAVELAND (NPI# 1558315754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558315754 |
Entity Type | Individual |
Full Name | MR. TERRY W CLEAVELAND |
Credential | CERTIFIED OPTICIAN |
Practice Address |
3361 N Academy Blvd Colorado Springs CO 80917-5103 |
Practice Telephone | 7195739425 |
Practice Fax Number | 7195976113 |
Mailing Telephone | 7195739425 |
Mailing Fax Number | 7195976113 |
Enumeration Date | 2006-05-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
Street Address |
3361 N ACADEMY BLVD |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80917-5103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801225859 | Angela Jm Parrish | Behavioral Analyst | 3361 N Academy Blvd, Colorado Springs, CO 80917-5103 | 2013-11-09 |
1063794014 | Lindsey Caitlin Patejdl | Behavioral Analyst | 3361 N Academy Blvd, Colorado Springs, CO 80917-5103 | 2011-09-15 |
1003104688 | Dawn Cheney | Behavioral Analyst | 3361 N Academy Blvd, Colorado Springs, CO 80917-5103 | 2011-07-15 |
1245380757 | Abundant Concepts Inc | Durable Medical Equipment & Medical Supplies | 3361 N Academy Blvd, Colorado Springs, CO 80917-5103 | 2007-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
Find all providers in zip 80917 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831647783 | National Vision, Inc. | Technician/Technologist | 1670 E Cheyenne Mountain Blvd, Ste N1 & M, Colorado Springs, CO 80906-4035 | 2016-09-20 |
1053715052 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1776 E Woodmen Rd, Colorado Springs, CO 80920 | 2014-10-20 |
1811185218 | Kelly's Park-hill Optical Company | Technician/Technologist | 423 N Circle Dr, Colorado Springs, CO 80909-6246 | 2007-10-10 |
1346327533 | Lee A Fernholz | Technician/Technologist | 12 E Pikes Peak Ave, Colorado Springs, CO 80903-1504 | 2006-11-01 |
1720635220 | Karl Minzenmayer | Technician/Technologist | 358 Main St, Colorado Springs, CO 80911-1713 | 2019-08-20 |
1932618550 | Karl Minzenmayer | Technician/Technologist | 358 Main St, Colorado Springs, CO 80911-1713 | 2017-09-26 |
1407234545 | Tricia Hanson | Technician/Technologist | 358 Main St, Colorado Springs, CO 80911-1713 | 2015-05-08 |
1730425083 | National Vision Optical | Technician/Technologist | 1030 E Stewart Ave, Bldg 2017, Colorado Springs, CO 80914-2900 | 2012-12-13 |
1225116270 | Wal-mart Stores, Inc. | Technician/Technologist | 1575 Space Center Dr, Colorado Springs, CO 80915-2441 | 2006-11-01 |
1023196078 | Wal-mart Stores, Inc. | Technician/Technologist | 5550 E Woodmen Rd, Colorado Springs, CO 80920-5257 | 2006-11-01 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80917 |
Please comment or provide details below to improve the information on MR. TERRY W CLEAVELAND.
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.