PREMIER EYE SURGERY CENTER OF COLORADO, LLC (NPI# 1912460015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912460015 |
| Entity Type | Organization |
| Organization Name | PREMIER EYE SURGERY CENTER OF COLORADO, LLC |
| Other Organization Name | PREMIER EYE SURGERY CENTER |
| Practice Address |
1050 W. South Boulder Road Lafayette CO 80026 |
| Mailing Address |
1050 W South Boulder Road Lafayette CO 80026 |
| Practice Telephone | 3037300066 |
| Mailing Telephone | 3036040787 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-07-29 |
| Authorized Official Name | DR. BRIAN NICHOLS (MANAGER) |
| Authorized Official Telephone | 3038823015 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premier Eye Surgery Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Premier Eye Surgery Center of Colorado, LLC | 26 W. Dry Creek Circle, Suite 600, Littleton, CO 80120 |
| Street Address |
1050 W. SOUTH BOULDER ROAD |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| 1811443625 | Shannon Rebecca Lamb | Social Worker | 400 East Simpson Street, Suite 210, Lafayette, CO 80026 | 2016-08-31 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1770096273 | Southpark Surgery Center, LLC | Clinic/Center | 901 Wilson St Ste A, Lafayette, LA 70503-2439 | 2017-11-07 |
| 1417294745 | Coal Creek Ambulatory Surgery Center PC | Clinic/Center | 130 Old Laramie Trl Bldg 4, Lafayette, CO 80026 | 2013-01-07 |
| 1598979734 | Jeffrey Craig Friedman | Clinic/Center | 911 Moraga Rd Ste 205, Lafayette, CA 94549-4500 | 2007-05-09 |
| 1174588099 | Iu Health Arnett Hospital, Inc | Clinic/Center | 1327 S 500 E, Lafayette, IN 47905-8718 | 2006-04-20 |
| 1912971326 | Advanced Surgery Center, LLC | Clinic/Center | 1400 Teal Rd, Suite 7, Lafayette, IN 47905-2463 | 2006-02-14 |
| 1124005558 | Surgicenter Group, LLC | Clinic/Center | 3733 Rome Dr, Lafayette, IN 47905-4490 | 2005-12-28 |
| 1154318376 | Lahaye Center for Advanced Eye Care of Lafayette, Inc. | Clinic/Center | 201 Rue Iberville, Suite 800, Lafayette, LA 70508-8503 | 2005-10-03 |
| 1659363844 | Laser & Surgery Center of Acadiana | Clinic/Center | 514 Saint Landry St, Lafayette, LA 70506-4626 | 2005-08-16 |
| 1003816307 | Sagamore Surgical Services, Inc. | Clinic/Center | 2320 Concord Rd, Ste B, Lafayette, IN 47909-2708 | 2005-07-28 |
| Find all providers in LAFAYETTE | ||||
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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.