Healthcare Provider Details

I. General information

NPI: 1740314483
Provider Name (Legal Business Name): EYE CARE CENTER OF NORTHERN COLORADO, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 DRY CREEK DR
LONGMONT CO
80503-6505
US

IV. Provider business mailing address

1400 DRY CREEK DR
LONGMONT CO
80503-6505
US

V. Phone/Fax

Practice location:
  • Phone: 303-772-3300
  • Fax:
Mailing address:
  • Phone: 303-772-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JOEL MEYERS
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 303-772-3300