3D VISION, INC
NPI 1053541854
Optometrist in Pueblo, CO

Active since July 15, 2009
400 N SANTA FE AVE, PUEBLO, CO 81003(719) 676-2100 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 19, 2026, Jan 10, 2025 (2 updates tracked since 2025).

About 3d Vision, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

3D VISION, INC (NPI 1053541854) is a healthcare organization registered as an optometrist in Pueblo, Colorado and active in the NPI registry since July 2009. The organization lists Jenni Corinne Drake, Vice President, as its authorized official.

NPPES Registry Identity

NPI1053541854
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business Name3D VISION, INC
Location Address400 N SANTA FE AVEPueblo, CO 81003-4136
Mailing Address400 N Santa Fe AvePueblo, CO 81003-4136 · (215) 870-4624
Organization SubpartNo
Authorized OfficialJenni Corinne DrakeVice President · (215) 870-4624
Enumeration DateJuly 15, 2009
Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
✔ NPI 1053541854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
400 N SANTA FE AVE, Pueblo, CO 81003

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

3d Vision, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20091002000247Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to 3D Vision, Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Optometry
NPI 1023218435
4080 W NORTHERN AVE
Pueblo, CO 81005
(719) 676-2100
✔ PECOS✔ Accepts Medicare3.7 mi
Optometry
NPI 1629278049
4080 W NORTHERN AVE
Pueblo, CO 81005
(719) 676-2100
✔ PECOS✔ Accepts Medicare3.7 mi
Optometry
NPI 1861988990
5760 W 120TH AVE STE 240
Broomfield, CO 80020
(303) 404-3937
✔ PECOS✔ Accepts Medicare117 mi
Optometry
NPI 1932977345
5760 W 120TH AVE STE 240
Broomfield, CO 80020
(303) 404-3937
✔ PECOS✔ Accepts Medicare117 mi
Optometry
NPI 1477995199
2171 PRAIRIE CENTER PKWY
Brighton, CO 80601
(303) 655-9360
✔ PECOS117 mi
Optometry
NPI 1043949001
105 S MAIN ST
Yuma, CO 80759
(970) 848-5345
✔ PECOS✔ Accepts Medicare164 mi
Optometry
NPI 1497237408
3601 S 6TH AVE BLDG 80
Tucson, AZ 85723
(520) 792-1450
✔ PECOS✔ Accepts Medicare552 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 3D Vision, Inc's NPI number?

The NPI number for 3D Vision, Inc is 1053541854. It was assigned to this organization in the NPPES registry on July 15, 2009.

Where is 3D Vision, Inc located?

3D Vision, Inc is located at 400 N Santa Fe Ave, Pueblo, CO 81003. The listed phone number is (719) 676-2100.

What is 3D Vision, Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is 3D Vision, Inc enrolled in Medicare?

Yes. 3D Vision, Inc is registered in the Medicare PECOS enrollment system.

When is 3D Vision, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through 3D Vision, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to 3D Vision, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does 3D Vision, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list 3D Vision, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 3D Vision, Inc was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.