Healthcare Provider Details

I. General information

NPI: 1144124967
Provider Name (Legal Business Name): COMMUNITY EYE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2373 G RD STE 270
GRAND JUNCTION CO
81505-1006
US

IV. Provider business mailing address

PO BOX 1727
GRAND JUNCTION CO
81502-1727
US

V. Phone/Fax

Practice location:
  • Phone: 970-242-0920
  • Fax:
Mailing address:
  • Phone: 970-257-6200
  • Fax: 970-263-2691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTIAN THOMAS
Title or Position: CEO/PRESIDENT
Credential:
Phone: 970-644-3011