FOUR CORNERS EYE CLINIC, PC
NPI 1508629395
Specialist in Cortez, CO
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 1508629395) is a healthcare organization registered as a specialist in Cortez, Colorado and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Eric Campbell Meyer, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Four Corners Eye Clinic, PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
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, COFrequently 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 1508629395. It was assigned to this organization in the NPPES registry on February 5, 2024.
Where is Four Corners Eye Clinic, PC located?
Four Corners Eye Clinic, PC is located at 22 S Beech St, Cortez, CO 81321. The listed phone number is (970) 507-4186.
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. 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 5, 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.
# Four Corners Eye Clinic, Pc · NPI 1508629395
Specialist organization in Cortez, Colorado. Organization record, active in the CMS NPPES registry since February 5, 2024.
## Identity
- **NPI:** 1508629395 (Entity type: Organization)
- **Enumerated:** February 5, 2024
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** Yes (part of Four Corners Eye Clinic, Pc)
- **Authorized official:** Eric Meyer, OWNER
## Practice location
- **Address:** 22 S BEECH ST, Cortez, CO 81321-3744
- **Phone:** (970) 507-4186
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508629395) · Data from the CMS NPPES public registry.