Vision Source Longmont, PC
Vision Source Longmont, PC is a healthcare organization registered as Optometrist in Longmont, CO, holding Type 2 (organization) NPI 1104980234 since 2006. The authorized official on file is Jason Kaminski, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104980234 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Vision Source Longmont, PC |
| Practice address | 2130 MOUNTAIN VIEW AVENUE, SUITE 207, Longmont, CO, 80501 |
| Phone | 3037722755 |
| Enumeration date | 2006-12-21 |
| Last updated in NPPES | 2013-03-06 |
Authorized official
| Name | Jason Kaminski |
|---|---|
| Title | Owner |
| Phone | 3037722755 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 857 | CO |
Copy-ready billing details
Provider: Vision Source Longmont, PC NPI: 1104980234 Taxonomy: 152W00000X (Optometrist) Address: 2130 MOUNTAIN VIEW AVENUE, SUITE 207, Longmont, CO, 80501
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508950007 | Addiction Treatment Center of Longmont | Organization | Addiction (Substance Use Disorder) Counselor | Longmont, CO |
Verify this record
Cross-check NPI 1104980234 against the authoritative CMS record: view Vision Source Longmont, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Vision Source Longmont, PC?
Who is the authorized official for Vision Source Longmont, PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-03-06.