FAIRMOUNT EYE CARE, LLC (NPI# 1801195961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801195961 |
| Entity Type | Organization |
| Organization Name | FAIRMOUNT EYE CARE, LLC |
| Practice Address |
3150 N 12th St Grand Junction CO 81506-2863 |
| Mailing Address |
Po Box 10700 Grand Junction CO 81502-5517 |
| Practice Telephone | 9702634525 |
| Practice Fax Number | 9702568441 |
| Mailing Telephone | 9702634525 |
| Mailing Fax Number | 9702568441 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |
| Authorized Official Name | DR. JULIE A LARSON (OPTOMETRIST/OWNER) |
| Authorized Official Telephone | 9702634525 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 2269 | CO | Suppliers |
| Street Address |
3150 N 12TH ST |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81506-2863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447240767 | Jeanne Haberer | Family Medicine | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2005-10-27 |
| 1306444583 | Ultreia Counseling, LLC | Counselor | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2020-10-11 |
| 1073137121 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2020-06-04 |
| 1760023741 | Lauren M Murphy | Nurse Practitioner | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2019-10-01 |
| 1548819253 | Dorian P Campisi | Physical Therapist | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2019-09-05 |
| 1376101766 | Michelle Mcdermott | Registered Nurse | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2019-05-31 |
| 1992363634 | Brad A Fenter | Physical Therapist | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2019-05-29 |
| 1366903130 | Corrine Pearl | Counselor | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2019-03-26 |
| 1972060002 | Sherry Ann Woods | Nurse Practitioner | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2019-02-25 |
| 1003370859 | Christina L Moore | Occupational Therapist | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2019-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
| 1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
| 1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
| 1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
| Find all providers in zip 81506 | ||||
| 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 |
|---|---|---|---|---|
| 1184022865 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2504 Hwy 6 and 50, Suite 200, Grand Junction, CO 81505-7170 | 2014-12-12 |
| 1316370158 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 2504 Hwy 6 and 50 Ste 200, Riverside Crossing, Grand Junction, CO 81505-7170 | 2013-08-15 |
| 1821313149 | Grey Eye Care PC | Eyewear Supplier (Equipment, not the service) | 1120 Wellington Ave Ste 107, Grand Junction, CO 81501-6130 | 2010-03-30 |
| 1447309760 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2424 Us Hwy 6 & 50, Mesa Mall, Grand Junction, CO 81505 | 2007-01-09 |
| 1326083130 | Sowash Optometry Group P C | Eyewear Supplier (Equipment, not the service) | 2424 Highway 6 and 50, Space 306, Grand Junction, CO 81505-1109 | 2006-06-17 |
| 1134503352 | The Optical Center, Inc | Eyewear Supplier (Equipment, not the service) | 1316 North Ave, Grand Junction, CO 81501-6419 | 2015-07-17 |
| 1154687515 | Monumental Views Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1190 Bookcliff Ave, Suite 102, Grand Junction, CO 81501-8133 | 2012-04-10 |
| 1942467493 | Eye Mart Outlet | Eyewear Supplier (Equipment, not the service) | 2139 N 12th St, Suite 5, Grand Junction, CO 81501-2901 | 2008-05-21 |
| 1215112776 | Eye-mart Factory Outlet | Eyewear Supplier (Equipment, not the service) | 2139 N 12th St, Unit 5, Grand Junction, CO 81501-2901 | 2008-01-03 |
| 1508994641 | Western Rockies Eye Center,p.c. | Eyewear Supplier (Equipment, not the service) | 1000 Wellington Ave, Grand Junction, CO 81501-8180 | 2007-03-01 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
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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.