| Summit Eye Center Pc | |
|
3650 E 15th St, Loveland, CO 80538-8701 | |
| (970) 669-1107 | |
| (970) 669-8849 |
| Full Name | Summit Eye Center Pc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 3650 E 15th St, Loveland, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548215346 | NPI | - | NPPES |
| 04012829 | Medicaid | CO |
| Provider Name | Jeanne Neperud |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689662868 PECOS PAC ID: 0648227462 Enrollment ID: I20050405000087 |
| Provider Name | Mary Angela Bolgeo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578551057 PECOS PAC ID: 3971417809 Enrollment ID: I20050614000382 |
| Provider Name | Terra Josephine Ceselski Clapp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326039793 PECOS PAC ID: 4981646825 Enrollment ID: I20061207000270 |
| Provider Name | Mitchell D Larson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639147705 PECOS PAC ID: 5597667014 Enrollment ID: I20091116000142 |
| Provider Name | John Degen Kirk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255336392 PECOS PAC ID: 7012912710 Enrollment ID: I20100610000699 |
| Provider Name | Rex Marley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518955798 PECOS PAC ID: 7719003789 Enrollment ID: I20100927001502 |
| Provider Name | Jason R Goodwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124016399 PECOS PAC ID: 3476523689 Enrollment ID: I20101007000479 |
| Provider Name | Cassandra Bradley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942566492 PECOS PAC ID: 2668637166 Enrollment ID: I20120709000269 |
| Provider Name | Dustin L Asay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205250271 PECOS PAC ID: 0345472866 Enrollment ID: I20171211000320 |
| Provider Name | Tyler Hoofard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972065522 PECOS PAC ID: 2961736509 Enrollment ID: I20190702000077 |
| Provider Name | Mya Montoya |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033350772 PECOS PAC ID: 5597810226 Enrollment ID: I20210922001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Eye Center Pc 3650 E 15th St, Loveland, CO 80538-8701 Ph: (970) 669-1107 | Summit Eye Center Pc 3650 E 15th St, Loveland, CO 80538-8701 Ph: (970) 669-1107 |