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EATON VISION CLINIC LLC NPI 1376612143


NPI Information

NPI: 1376612143
Provider Name: EATON VISION CLINIC LLC

Former Legal Business Name: EATON VISION CLINIC

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
215 ELM AVE
EATON, CO
ZIP 80615
Phone: (970) 454-3387
Get Directions

EATON VISION CLINIC LLC is an optometrist in Eaton, CO. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. EATON VISION CLINIC LLC NPI is 1376612143. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Eaton Vision Clinic.

The provider's business location address is:

215 ELM AVE
EATON, CO
ZIP 80615-428
Phone: (970) 454-3387
Fax: (970) 454-3380

The provider's authorized official is Michael C Sturm .
The authorized official title is Partner and has the following contact phone number (970) 454-3387.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 8/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristOPT 1014COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DS6882MEDICARE PINCOLORADO
2COA105254MEDICARE PINCOLORADO
36617000001MEDICARE NSCCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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