CORTEZ VISION PC NPI 1992868194

NPI Information

  • NPI: 1992868194
  • Provider Name: CORTEZ VISION PC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Former Legal Business Name: CORTEZ VISION CLINIC
  • CLIA Number: 06D2313518
  • Address: 2423 E MAIN ST STE 4
    CORTEZ, CO
    ZIP 81321
  • Phone: (970) 565-2020

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NPI Details

CORTEZ VISION PC is an optometrist in Cortez, 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. CORTEZ VISION PC NPI is 1992868194. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Cortez Vision Clinic.

The provider's business location address is:

2423 E MAIN ST STE 4
CORTEZ, CO
ZIP 81321-269
Phone: (970) 565-2020
Fax: (970) 565-3632

The provider's authorized official is Bryce Tanner .
The authorized official title is Owner and has the following contact phone number (970) 565-2020.

The CLIA number assigned to this NPI record is 06D2313518 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 3/14/2024.

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
1152W00000XOptometrist2046COLORADOYes
2152W00000XOptometrist904COLORADONo
3152W00000XOptometrist2803COLORADONo

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
106979238MEDICAIDCOLORADO

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: 11/21/2025

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