CORTEZ VISION PC
NPI 1992868194
Optometrist in Cortez, CO

Active since December 18, 2006CLIA 06D2313518 · Waiver
2423 E MAIN ST STE 4, CORTEZ, CO 81321(970) 565-2020(970) 565-3632 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cortez Vision Pc NPPES

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

CORTEZ VISION PC (NPI 1992868194), doing business as Cortez Vision Clinic, is a healthcare organization registered as an optometrist in Cortez, Colorado and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Bryce Tanner, Owner, as its authorized official.

NPPES Registry Identity

NPI1992868194
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCORTEZ VISION PC
Location Address2423 E MAIN ST STE 4Cortez, CO 81321-4269
Mailing AddressPo Box 820Cortez, CO 81321-0820 · (970) 565-2020 · Fax (970) 565-3632
Fax(970) 565-3632
Organization SubpartNo
Authorized OfficialBryce TannerOwner · (970) 565-2020
Enumeration DateDecember 18, 2006
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1992868194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CO · 2046✔ Licensed in CO · 904✔ Licensed in CO · 2803
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2423 E MAIN ST STE 4, Cortez, CO 81321

Other Names 1

Former Legal Business NameCortez Vision Clinic

Other Identifiers 1

Medicaid06979238CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Cortez Vision Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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 IDO20040914001304Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cortez Vision PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1609181148
140 NORTH MARKET ST
Cortez, CO 81321
(970) 565-2020
✔ PECOS✔ Accepts Medicare1.8 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 06D2313518

Cortez Vision, PC · Cortez, CO
Active · expires Oct 31, 2026
CLIA Number06D2313518
Laboratory TypePractitioner Other
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorBryce D. Tanner
Laboratory Phone(970) 565-2020
Laboratory LocationCortez Vision, PC2423 East Main St, Suite 4, Cortez, CO 81321
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 Cortez Vision PC's NPI number?

The NPI number for Cortez Vision PC is 1992868194. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider was formerly known as Cortez Vision Clinic.

Where is Cortez Vision PC located?

Cortez Vision PC is located at 2423 E Main St Ste 4, Cortez, CO 81321. The listed phone number is (970) 565-2020.

What is Cortez Vision PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Cortez Vision PC enrolled in Medicare?

Yes. Cortez Vision PC is registered in the Medicare PECOS enrollment system.

When is Cortez Vision 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 January 31, 2027. 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 Cortez Vision PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Cortez Vision 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 Cortez Vision PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2313518) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cortez Vision PC was last updated on March 14, 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.