FORT MORGAN EYE CARE LLC
NPI 1093229718
Clinic/Center in Fort Morgan, CO

Active since November 17, 2017
1100 MAIN ST, FORT MORGAN, CO 80701(970) 867-3046 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 11, 2018, Nov 17, 2017 (2 updates tracked since 2017).

About Fort Morgan Eye Care Llc NPPES

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

FORT MORGAN EYE CARE LLC (NPI 1093229718) is a healthcare organization registered as a clinic/center in Fort Morgan, Colorado and active in the NPI registry since November 2017. The organization lists Jeffrey Ryan Wiedrich, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1093229718
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFORT MORGAN EYE CARE LLC
Location Address1100 MAIN STFort Morgan, CO 80701-2036
Mailing Address1100 Main StFort Morgan, CO 80701-2036
Organization SubpartNo
Authorized OfficialJeffrey Ryan WiedrichOptometrist · (806) 336-7105
Enumeration DateNovember 17, 2017
Last NPPES UpdateJanuary 11, 20182 updates tracked since enumeration
✔ NPI 1093229718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CO · OPT.0002664
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1100 MAIN ST, Fort Morgan, CO 80701

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fort Morgan Eye Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fort Morgan Eye Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1225287444
1100 MAIN ST
Fort Morgan, CO 80701
(806) 336-7105
✔ PECOS✔ Accepts MedicareSame address

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 Fort Morgan Eye Care LLC's NPI number?

The NPI number for Fort Morgan Eye Care LLC is 1093229718. It was assigned to this organization in the NPPES registry on November 17, 2017.

Where is Fort Morgan Eye Care LLC located?

Fort Morgan Eye Care LLC is located at 1100 Main St, Fort Morgan, CO 80701. The listed phone number is (970) 867-3046.

What is Fort Morgan Eye Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Fort Morgan Eye Care LLC enrolled in Medicare?

Yes. Fort Morgan Eye Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fort Morgan Eye Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Fort Morgan Eye Care LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fort Morgan Eye Care LLC was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.