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VISION SOURCE LONGMONT, PC
NPI 1104980234
Optometrist in Longmont, CO

Active since December 21, 2006
2130 MOUNTAIN VIEW AVENUE, SUITE 207, LONGMONT, CO 80501(303) 772-2755 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vision Source Longmont, Pc NPPES

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

VISION SOURCE LONGMONT, PC (NPI 1104980234) is a healthcare organization registered as an optometrist in Longmont, Colorado and active in the NPI registry since December 2006. The organization lists Jason L. Kaminski, Owner, as its authorized official.

NPPES Registry Identity

NPI1104980234
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameVISION SOURCE LONGMONT, PC
Location Address2130 MOUNTAIN VIEW AVENUE, SUITE 207Longmont, CO 80501
Mailing Address2130 Mountain View Avenue, Suite 207Longmont, CO 80501
Phone(303) 772-2755
Organization SubpartNo
Authorized OfficialJason L. KaminskiOwner · (303) 772-2755
Enumeration DateDecember 21, 2006
Last NPPES UpdateMarch 6, 2013
✔ NPI 1104980234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CO · 857
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.

2130 MOUNTAIN VIEW AVENUE, Longmont, CO 80501
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Other Identifiers 2

Medicare NSC0570530001CO
Medicare ID-Type UnspecifiedCA0703CO

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADDICTION TREATMENT CENTER OF LONGMONT
Counselor (Addiction (Substance Use Disorder))
2130 MOUNTAIN VIEW AVENUE, SUITE A-2
LONGMONT, CO 80501
Boulder County (303) 651-9200

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 Vision Source Longmont, PC's NPI number?

The NPI number for Vision Source Longmont, PC is 1104980234. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Vision Source Longmont, PC located?

Vision Source Longmont, PC is located at 2130 Mountain View Avenue Suite 207, Longmont, CO 80501. The listed phone number is (303) 772-2755.

What is Vision Source Longmont, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Vision Source Longmont, PC was last updated on March 6, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.