FOUR CORNERS EYE CLINIC, PC
NPI 1164595658
Specialist in Durango, CO

Active since November 15, 2006CLIA 06D2097756 · Waiver
575 RIVERGATE, SUITE 212, DURANGO, CO 81301(970) 259-2202(970) 259-2837 Get Directions Write a Review

NPPES record last updated: February 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Four Corners Eye Clinic, Pc NPPES

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

FOUR CORNERS EYE CLINIC, PC (NPI 1164595658) is a healthcare organization registered as a specialist in Durango, Colorado and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Eric C Meyer, Physician Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1164595658
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFOUR CORNERS EYE CLINIC, PC
Location Address575 RIVERGATE, SUITE 212Durango, CO 81301-7487
Mailing Address575 Rivergate Unit 212Durango, CO 81301-7488 · (970) 259-2202 · Fax (970) 259-2837
Fax(970) 259-2837
Organization SubpartNo
Authorized OfficialEric C MeyerPhysician Managing Partner · (970) 259-2202
Enumeration DateNovember 15, 2006
Last NPPES UpdateFebruary 3, 2024
NPPES CertifiedFebruary 3, 2024
✔ NPI 1164595658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
575 RIVERGATE, Durango, CO 81301

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

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)

Four Corners Eye Clinic, Pc 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 IDO20040329000385Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Four Corners Eye Clinic, PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Ophthalmology
NPI 1881823581
575 RIVERGATE LN UNIT 212
Durango, CO 81301
(970) 259-2202
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1699907469
575 RIVERGATE SUITE 212
Durango, CO 81301
(970) 259-2202
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1003989633
575 RIVERGATE SUITE 212
Durango, CO 81301
(970) 259-2202
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1699703611
575 RIVERGATE UNIT 212
Durango, CO 81301
(970) 259-2202
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1356566004
575 RIVERGATE SUITE 212
Durango, CO 81301
(970) 259-2202
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1417377136
2005 BAY ST STE 206
Taunton, MA 02780
(508) 823-7473
✔ PECOS✔ Accepts Medicare1,973 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2097756

Four Corners Eye Clinic · Durango, CO
Active · expires Jun 22, 2027
CLIA Number06D2097756
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorEric C. Meyer
Laboratory Phone(970) 259-2202
Laboratory LocationFour Corners Eye Clinic575 Rivergate Lane Suite 212, Durango, CO 81301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Four Corners Eye Clinic, PC's NPI number?

The NPI number for Four Corners Eye Clinic, PC is 1164595658. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Four Corners Eye Clinic, PC located?

Four Corners Eye Clinic, PC is located at 575 Rivergate Suite 212, Durango, CO 81301. The listed phone number is (970) 259-2202.

What is Four Corners Eye Clinic, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Four Corners Eye Clinic, PC enrolled in Medicare?

Yes. Four Corners Eye Clinic, PC is registered in the Medicare PECOS enrollment system.

When is Four Corners Eye Clinic, PC'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 Four Corners Eye Clinic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Ophthalmology, reassign their Medicare billing to Four Corners Eye Clinic, PC. 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, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Four Corners Eye Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2097756) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Four Corners Eye Clinic, PC was last updated on February 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.