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MOUNTAIN SHADOWS VISION CENTER LLC NPI 1356675557


NPI Information

NPI: 1356675557
Provider Name: MOUNTAIN SHADOWS VISION CENTER, LLC
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 06D2155583

Address:
1910 VINDICATOR DR STE 102
COLORADO SPRINGS, CO
ZIP 80919
Phone: (719) 590-1744
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MOUNTAIN SHADOWS VISION CENTER, LLC is an optometrist in Colorado Springs, 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. MOUNTAIN SHADOWS VISION CENTER, LLC NPI is 1356675557. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1910 VINDICATOR DR STE 102
COLORADO SPRINGS, CO
ZIP 80919-618
Phone: (719) 590-1744

The provider's authorized official is Karen Higashi-reynolds .
The authorized official title is Manager and has the following contact phone number (719) 590-1744.

The CLIA number assigned to this NPI record is 06D2155583 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2009 and was last updated on 12/31/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristCO1914COLORADOYes

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: 11/14/2023

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