FORT COLLINS FAMILY EYE CARE
NPI 1689030645
Optometrist in Fort Collins, CO
About Fort Collins Family Eye Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORT COLLINS FAMILY EYE CARE (NPI 1689030645) is a healthcare organization registered as an optometrist in Fort Collins, Colorado and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Jaclyn Munson, Owner/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fort Collins Family Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Fort Collins Family Eye Care, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 06D2145126
Fort Collins Family Eye Care · Fort Collins, 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 Fort Collins Family Eye Care's NPI number?
The NPI number for Fort Collins Family Eye Care is 1689030645. It was assigned to this organization in the NPPES registry on January 6, 2016.
Where is Fort Collins Family Eye Care located?
Fort Collins Family Eye Care is located at 373 W Drake Rd Suite 3, Fort Collins, CO 80526. The listed phone number is (970) 233-7150.
What is Fort Collins Family Eye Care's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Fort Collins Family Eye Care enrolled in Medicare?
Yes. Fort Collins Family Eye Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fort Collins Family Eye Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Fort Collins Family Eye Care. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fort Collins Family Eye Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2145126) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Fort Collins Family Eye Care was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Fort Collins Family Eye Care · NPI 1689030645
Optometrist organization in Fort Collins, Colorado. Organization record, active in the CMS NPPES registry since January 6, 2016.
## Identity
- **NPI:** 1689030645 (Entity type: Organization)
- **Enumerated:** January 6, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** Yes (part of Jaclyn A. Munson, Od Pllc)
- **Authorized official:** Jaclyn Munson, OWNER/MANAGER
## Practice location
- **Address:** 373 W DRAKE RD, SUITE 3, Fort Collins, CO 80526-2881
- **Phone:** (970) 233-7150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2016
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1689030645) · Data from the CMS NPPES public registry.