LEE A FERNHOLZ (NPI# 1346327533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346327533 |
| Entity Type | Individual |
| Full Name | LEE A FERNHOLZ |
| Other Name | DAVID W FERNHOLZ |
| Practice Address |
12 E Pikes Peak Ave Colorado Springs CO 80903-1504 |
| Practice Telephone | 7195774366 |
| Mailing Telephone | 7195774366 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
008896500000 | CO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 08100497 | 05 |
| Street Address |
12 E PIKES PEAK AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649439241 | Cynthia Martin | Optometrist | 12 E Pikes Peak Ave, Colorado Springs, CO 80903-1504 | 2008-06-09 |
| 1538347117 | In-sight Optical | Eyewear Supplier (Equipment, not the service) | 12 E Pikes Peak Ave, Colorado Springs, CO 80903-1504 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831647783 | National Vision, Inc. | Technician/Technologist | 1670 E Cheyenne Mountain Blvd, Ste N1 & M, Colorado Springs, CO 80906-4035 | 2016-09-20 |
| 1053715052 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1776 E Woodmen Rd, Colorado Springs, CO 80920 | 2014-10-20 |
| 1811185218 | Kelly's Park-hill Optical Company | Technician/Technologist | 423 N Circle Dr, Colorado Springs, CO 80909-6246 | 2007-10-10 |
| 1558315754 | Terry W Cleaveland | Technician/Technologist | 3361 N Academy Blvd, Colorado Springs, CO 80917-5103 | 2006-05-20 |
| 1720635220 | Karl Minzenmayer | Technician/Technologist | 358 Main St, Colorado Springs, CO 80911-1713 | 2019-08-20 |
| 1932618550 | Karl Minzenmayer | Technician/Technologist | 358 Main St, Colorado Springs, CO 80911-1713 | 2017-09-26 |
| 1407234545 | Tricia Hanson | Technician/Technologist | 358 Main St, Colorado Springs, CO 80911-1713 | 2015-05-08 |
| 1730425083 | National Vision Optical | Technician/Technologist | 1030 E Stewart Ave, Bldg 2017, Colorado Springs, CO 80914-2900 | 2012-12-13 |
| 1225116270 | Wal-mart Stores, Inc. | Technician/Technologist | 1575 Space Center Dr, Colorado Springs, CO 80915-2441 | 2006-11-01 |
| 1023196078 | Wal-mart Stores, Inc. | Technician/Technologist | 5550 E Woodmen Rd, Colorado Springs, CO 80920-5257 | 2006-11-01 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
Please comment or provide details below to improve the information on LEE A FERNHOLZ.
| 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.