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EVERGREEN VISION CLINIC, PC
NPI 1487741542
Eyewear Supplier in Evergreen, CO

Active since October 09, 2006
30960 STAGECOACH BLVD # W200, EVERGREEN, CO 80439(303) 674-4143(303) 670-4081 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Vision Clinic, Pc NPPES

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

EVERGREEN VISION CLINIC, PC (NPI 1487741542) is a healthcare organization registered as an eyewear supplier in Evergreen, Colorado and active in the NPI registry since October 2006. The organization lists Daniel R. Hock, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1487741542
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameEVERGREEN VISION CLINIC, PC
Location Address30960 STAGECOACH BLVD # W200Evergreen, CO 80439-7902
Mailing Address30960 Stagecoach Blvd # W200Evergreen, CO 80439-7902
Phone(303) 674-4143
Fax(303) 670-4081
Organization SubpartNo
Authorized OfficialDaniel R. HockOptometrist · (303) 674-4143
Enumeration DateOctober 9, 2006
Last NPPES UpdateNovember 2, 2007
✔ NPI 1487741542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in CO · 1747
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
30960 STAGECOACH BLVD # W200, Evergreen, CO 80439
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Other Identifiers 2

Medicare NSC1314960001CO
Medicare PINCD1003CO

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 Evergreen Vision Clinic, PC's NPI number?

The NPI number for Evergreen Vision Clinic, PC is 1487741542. It was assigned to this organization in the NPPES registry on October 9, 2006.

Where is Evergreen Vision Clinic, PC located?

Evergreen Vision Clinic, PC is located at 30960 Stagecoach Blvd # W200, Evergreen, CO 80439. The listed phone number is (303) 674-4143.

What is Evergreen Vision Clinic, PC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Vision Clinic, PC was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.