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AMY C CECIL OD PLLC NPI 1003086463


NPI Information

NPI: 1003086463
Provider Name: AMY C CECIL OD PLLC
Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
100 ELK RUN DR STE 206
BASALT, CO
ZIP 81621
Phone: (970) 927-5107
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AMY C CECIL OD PLLC is a vision therapy optometrist in Basalt, CO. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. AMY C CECIL OD PLLC NPI is 1003086463. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 ELK RUN DR STE 206
BASALT, CO
ZIP 81621-241
Phone: (970) 927-5107
Fax: (970) 927-5108

The provider's authorized official is Amy C Cecil .
The authorized official title is Owner and has the following contact phone number (970) 927-5107.

The enumeration date for this NPI number is 3/1/2008 and was last updated on 7/29/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WV0400XOptometristVision Therapy1261COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
152027732MEDICAIDCOLORADO
2C45093MEDICARE PIN
34409690001MEDICARE NSCCOLORADO
4U55870MEDICARE UPIN

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: 4/28/2024

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