JENNIFER HAVRILLA LLC (NPI# 1114484656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114484656 |
| Entity Type | Organization |
| Organization Name | JENNIFER HAVRILLA LLC |
| Practice Address |
2001 S Shields St Ste J1 Fort Collins CO 80526-1837 |
| Practice Telephone | 9702060100 |
| Practice Fax Number | 9702060300 |
| Mailing Telephone | 9702060100 |
| Mailing Fax Number | 9702060300 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | JENNIFER HAVRILLA (OWNER) |
| Authorized Official Telephone | 9702060100 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Colorado Vision Center | Doing Business As Name - Organization |
| Street Address |
2001 S SHIELDS ST STE J1 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-1837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801886502 | Edith G Bowman | Optometrist | 2001 S Shields St Ste J1, Fort Collins, CO 80526-1837 | 2005-10-24 |
| 1811167158 | Edie Bowman Od LLC | Optometrist | 2001 S Shields St Ste J1, Fort Collins, CO 80526-1837 | 2008-03-03 |
| 1639158231 | Margaret Elizabeth Rado | Optometrist | 2001 S Shields St Ste J1, Fort Collins, CO 80526-1837 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928331 | Madison Street Provider Network Inc | Optometrist | 4103 Boardwalk Dr Unit 100, Fort Collins, CO 80525-5933 | 2020-10-01 |
| 1467079137 | Rebecca Weinberger | Optometrist | 3501 S Shields St, Fort Collins, CO 80526-2583 | 2020-06-29 |
| 1699259143 | Poudre Valley Eyecare LLC | Optometrist | 1820 S College Ave Ste B, Fort Collins, CO 80525-1423 | 2018-09-20 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1255719043 | Visionzone LLC | Optometrist | 383 W Drake Rd Ste 103, Fort Collins, CO 80526-2884 | 2015-05-12 |
| 1033454806 | Edge Optics LLC | Optometrist | 706 S College Ave, Suite 101, Fort Collins, CO 80524-9817 | 2012-12-06 |
| 1134480973 | Jennifer Havrilla | Optometrist | 425 Crows Nest Ct, Fort Collins, CO 80525-3118 | 2012-06-07 |
| 1043523129 | Lorena Delagarza | Optometrist | 3100 S College Ave, Suite 120, Fort Collins, CO 80525-2643 | 2010-07-19 |
| 1508198433 | Eyecare for You LLC | Optometrist | 4050 S Timberline Rd, Suite 120, Fort Collins, CO 80525-6032 | 2010-02-03 |
| 1275770117 | Front Range Vision Care, Pllc | Optometrist | 204 Maple Street, Suite 103, Fort Collins, CO 80524 | 2009-01-14 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
Please comment or provide details below to improve the information on JENNIFER HAVRILLA LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.