FOOTHILLS EYE CLINIC LLC
NPI 1336609957
Clinic/Center in Evergreen, CO

Active since March 20, 2019
952 SWEDE GULCH RD, EVERGREEN, CO 80439(303) 526-0534 Get Directions Write a Review

NPPES record last updated: April 26, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 26, 2019, Mar 20, 2019 (2 updates tracked since 2019).

About Foothills Eye Clinic Llc NPPES

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

FOOTHILLS EYE CLINIC LLC (NPI 1336609957) is a healthcare organization registered as a clinic/center in Evergreen, Colorado and active in the NPI registry since March 2019. The organization lists Brian Vincent, Owner, as its authorized official.

NPPES Registry Identity

NPI1336609957
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFOOTHILLS EYE CLINIC LLC
Location Address952 SWEDE GULCH RDEvergreen, CO 80439-3713
Mailing AddressPo Box 1530Golden, CO 80402-1530 · (303) 653-6255
Organization SubpartNo
Authorized OfficialBrian VincentOwner · (303) 653-6255
Enumeration DateMarch 20, 2019
Last NPPES UpdateApril 26, 20192 updates tracked since enumeration
✔ NPI 1336609957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
952 SWEDE GULCH RD, Evergreen, CO 80439

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Foothills Eye Clinic 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 Foothills Eye Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1194769844
952 SWEDE GULCH RD
Evergreen, CO 80439
(303) 526-0534
✔ 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 Foothills Eye Clinic LLC's NPI number?

The NPI number for Foothills Eye Clinic LLC is 1336609957. It was assigned to this organization in the NPPES registry on March 20, 2019.

Where is Foothills Eye Clinic LLC located?

Foothills Eye Clinic LLC is located at 952 Swede Gulch Rd, Evergreen, CO 80439. The listed phone number is (303) 526-0534.

What is Foothills Eye Clinic LLC's specialty?

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

Is Foothills Eye Clinic LLC enrolled in Medicare?

Yes. Foothills Eye Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foothills Eye Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Foothills Eye Clinic 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 Foothills Eye Clinic LLC was last updated on April 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.