Executive Park Eye Care, PLLC
NPI 1528156734 · Optometrist · Colorado Springs, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Executive Park Eye Care, PLLC is a Optometrist organization in Colorado Springs, CO (NPI 1528156734).
Provider details
- NPI number
- 1528156734
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jeanne Derber, Owner/Optometrist(719) 574-7000
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Executive Park Eye Care, LLC
- Former legal business name
- Executive Park Eye Care, LLC
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2021-11-02
- Certified
- 2021-11-02
Frequently asked questions
- What is Executive Park Eye Care, PLLC's NPI number?
- Executive Park Eye Care, PLLC's National Provider Identifier (NPI) is 1528156734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive Park Eye Care, PLLC?
- Executive Park Eye Care, PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Executive Park Eye Care, PLLC located?
- Executive Park Eye Care, PLLC's practice location on file with NPPES is 9240 Explorer Dr Ste 100, Colorado Springs, CO 80920-5004.
- What is Executive Park Eye Care, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Executive Park Eye Care, PLLC is (719) 574-7000.
- Does Executive Park Eye Care, PLLC accept Medicare?
- Executive Park Eye Care, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Executive Park Eye Care, PLLC?
- The authorized official listed on Executive Park Eye Care, PLLC's NPPES record is Jeanne Derber, Owner/Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive Park Eye Care, PLLC's NPI active?
- Yes — Executive Park Eye Care, PLLC's NPI (1528156734) is active in the NPPES registry as of the last update on 2021-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.