ROCKY MOUNTAIN EYE CENTER INC A COLORADO PROVIDER NETWORK (NPI# 1740342708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740342708 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN EYE CENTER INC A COLORADO PROVIDER NETWORK |
| Practice Address |
515 E 1st St Salida CO 81201-2805 |
| Mailing Address |
27 Montebello Rd Pueblo CO 81001-1236 |
| Practice Telephone | 7195393581 |
| Practice Fax Number | 7195394992 |
| Mailing Telephone | 7195451530 |
| Mailing Fax Number | 7195452899 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2015-03-30 |
| 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 | MEDICARE | CK2008 | 01 |
| CO | RAILROAD MEDICARE | CQ2139 | 01 |
| CO | 04009478 | 05 | |
| CO | U S. DEPARTMENT OF LABOR | 608439600 | 01 |
| CO | ANTHEM BLUE CROSS BLUE SH | ROK2008 | 01 |
| 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 |
| 1275695827 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 102 Santa Fe Ave, La Junta, CO 81050-1523 | 2006-12-13 |
| 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 |
515 E 1ST ST |
| City | SALIDA |
| State | CO |
| Zip Code | 81201-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972591261 | Mark Wayne Weber | Ophthalmology | 515 E 1st St, Salida, CO 81201-2805 | 2005-10-11 |
| 1841440690 | Michael E. Millsap | Optometrist | 515 E 1st St, Salida, CO 81201-2805 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395418 | Helgrit P Howard | Massage Therapist | Myoarts Therapeutic Massage and Bodyworks, 7405 West Hwy 50, Salida, CO 81201 | 2020-04-22 |
| 1922628742 | Tad Howard | Massage Therapist | 7405 West Hwy 50. Myoarts Therapeutic Message and Body, Salida, CO 81201 | 2020-04-22 |
| 1740821289 | Ljcc Services, LLC | Durable Medical Equipment & Medical Supplies | 137 F Street, Salida, CO 81201 | 2019-10-07 |
| 1215451539 | Julie Zavage | Counselor | 111 Vesta Rd., Salida, CO 81201 | 2017-07-28 |
| 1417488776 | Cynthia Love Pursell | Pharmacist | 910 Rush Drive, Salida, CO 81201 | 2017-03-27 |
| 1215487517 | Melissa Hollan | Massage Therapist | 130 W 2nd Street, Suite 5, Salida, CO 81201 | 2016-10-11 |
| 1114371408 | Jamie Allen Baker | Specialist/Technologist | 1215 D. St., Salida, CO 81201 | 2016-04-22 |
| 1386920692 | Emily Anderson | Registered Nurse | 448 East 1st Street, Salida, CO 81201 | 2011-11-01 |
| 1316248529 | Thomas Michael Deyton | Physical Therapist | 305 G Street, Salida, CO 81201 | 2010-11-04 |
| 1598089518 | Iris Jeanette Diaz Cassidy | Massage Therapist | 1548 G Street, #8 La Placita, Salida, CO 81201 | 2010-03-19 |
| Find all providers in zip 81201 | ||||
| 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.