| Village Optical | |
|
4103 Boardwalk Dr, Suite 100, Fort Collins, CO 80525-5931 | |
| (970) 223-0592 | |
| (970) 377-1082 |
| Full Name | Village Optical |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4103 Boardwalk Dr, Fort Collins, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346422607 | NPI | - | NPPES |
| DD2107 | Other | CO | RAILROAD MEDICARE |
| 04011250 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT 1342 (Colorado) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | CO1342 (Colorado) | Secondary |
| Provider Name | Kevin J Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447239736 PECOS PAC ID: 2062480528 Enrollment ID: I20040922000514 |
| Mailing Address | Practice Location Address |
|---|---|
| Village Optical 4103 Boardwalk Dr, Suite 100, Fort Collins, CO 80525-5931 Ph: (970) 223-0592 | Village Optical 4103 Boardwalk Dr, Suite 100, Fort Collins, CO 80525-5931 Ph: (970) 223-0592 |
Lisa M Schneider, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 702 W Drake Rd Bldg B, Fort Collins, CO 80526 Phone: 970-221-4811 | |
Virginia Vision Care Assoc., L.l.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 W Mountain Ave, Fort Collins, CO 80524 Phone: 970-407-0665 | |
Ensight Skills Center, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1101 Oakridge Dr Unit C, Fort Collins, CO 80525 Phone: 970-407-9999 Fax: 970-207-9844 | |
Dr. Jesica Mali Siriwardane, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2720 Council Tree Ave Ste 148, Fort Collins, CO 80525 Phone: 970-530-3097 | |
Dr. Mark D Jackson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1250 E Magnolia St, Fort Collins, CO 80524 Phone: 970-224-0606 Fax: 970-493-9309 | |
Dr. Sean M Mahaney, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1725 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-221-2222 | |
Edge Optics Llc Optometrist Medicare: Medicare Enrolled Practice Location: 706 S College Ave, Suite 101, Fort Collins, CO 80524 Phone: 970-682-2627 |