Provider Demographics
NPI:1124083563
Name:CUMMINGS VISION CARE PC
Entity type:Organization
Organization Name:CUMMINGS VISION CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:719-684-5317
Mailing Address - Street 1:101 C SUNDIAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-7769
Mailing Address - Country:US
Mailing Address - Phone:719-684-5317
Mailing Address - Fax:719-687-9308
Practice Address - Street 1:101 C SUNDIAL DRIVE
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-7769
Practice Address - Country:US
Practice Address - Phone:719-684-5317
Practice Address - Fax:719-687-9308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT1456152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C43323Medicare PIN
0853020001Medicare NSC