ORCHARD EYE CENTER PC NPI 1679634471

NPI Information

NPI: 1679634471
Provider Name: ORCHARD EYE CENTER PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2403 N 12TH ST
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 243-8697
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ORCHARD EYE CENTER PC is a specialist in Grand Junction, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ORCHARD EYE CENTER PC NPI is 1679634471. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2403 N 12TH ST
GRAND JUNCTION, CO
ZIP 81501-130
Phone: (970) 243-8697
Fax: (970) 243-8698

The provider's authorized official is Kelley R Routh .
The authorized official title is Billing Manager Front Off Super and has the following contact phone number (970) 243-8697.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 4/20/2008.

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
1	152W00000X	Optometrist		2476	COLORADO	No
2	174400000X	Specialist		36956	COLORADO	Yes

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
1	GEG9008	OTHER	COLORADO	BCBS GROUP
2	634810	OTHER	COLORADO	BCBS INDIVIDUAL
3	1800341911	MEDICARE ID-TYPE UNSPECIFIED	COLORADO	RR MEDICARE
4	=========004	OTHER	COLORADO	ROCKY MNT HEALTH PLANS
5	01369560	MEDICAID	COLORADO
6	=========007	OTHER	COLORADO	ROCKY MNT HEALTH PLANS
7	V06166	MEDICARE UPIN	COLORADO
8	G76137	MEDICARE UPIN	COLORADO
9	G9048	MEDICARE ID-TYPE UNSPECIFIED	COLORADO
10	917805	OTHER	COLORADO	SECURE HORIZON
11	802705	MEDICARE ID-TYPE UNSPECIFIED	COLORADO

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

NPI Synchronization or Removal

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