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Export Provider Record NPI 1396761540
Sowash Optometry Group Pc
Organization Subpart: NO
Active
NPI Number1396761540
NPI TypeNPI-2 Organization
SpecialtyEyewear Supplier (Equipment, not the service)
Provider Details
NPI1396761540
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-14
Last Updated2015-12-17
Authorized OfficialTom Sowash
Owner
Phone: 7209626906
Mailing Address175 E Houston St
San Antonio, TX 78205-2255
United States
Phone: (210) 524-6771 | Fax: (210) 524-6587
📍 View Map
Primary Practice Address2407 S College Ave, Unit 300
Fort Collins, CO 80525-1773
United States
Phone: (970) 484-3787 | Fax: (970) 484-0133
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCO87005026-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes332H00000X – Eyewear Supplier (Equipment, not the service)--
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About NPI 1396761540

Sowash Optometry Group Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1396761540. The primary specialty listed is Eyewear Supplier (Equipment, not the service). The organization is located in Fort Collins, CO. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1396761540?

NPI 1396761540 belongs to Sowash Optometry Group Pc, a Eyewear Supplier (Equipment, not the service) in Fort Collins, CO. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1396761540 active?

The current status of NPI 1396761540 in the NPPES registry is Active. The record was last updated on 2015-12-17.

What specialty is NPI 1396761540?

NPI 1396761540 is classified under the taxonomy Eyewear Supplier (Equipment, not the service). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1396761540?

You can verify NPI 1396761540 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1396761540?

The primary practice address on file for NPI 1396761540 is 2407 S College Ave, Fort Collins, CO 80525-1773. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1396761540 issued?

NPI 1396761540 was first issued (enumerated) on 2006-07-14. The NPPES record was last updated on 2015-12-17.

Practice Location Map

Sowash Optometry Group Pc is located at 2407 S College Ave, Fort Collins, CO. Use the map below to find directions or verify the practice location.

📍 2407 S College Ave, Fort Collins, CO 80525-1773  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Sowash Optometry Group Pc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-24 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162