AMY C CECIL OD PLLC — NPI 1003086463 (Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Vision Therapy in BASALT, CO)

CMS-1500 Box 24J / 33a • NPI

1003086463

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

152WV0400X (CMS 41)

Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Vision Therapy

Box 32 Service Location & ZIP+4

100 ELK RUN DR STE 206, BASALT, CO, 81621-9241

✓ 9-Digit EDI 837 ZIP+4 (81621-9241)

Practice Phone & Referral Fax

(970) 927-5107

Fax: (970) 927-5108

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1003086463 (AMY C CECIL OD PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1003086463` (NPI-2 Organization / Facility)
Provider / Legal Name	AMY C CECIL OD PLLC
Plain-English Specialty	Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Vision Therapy NUCC Code: `152WV0400X` (Optometrist, Vision Therapy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	100 ELK RUN DR STE 206, BASALT, CO, 81621-9241
Practice Telephone / Fax	Tel: (970) 927-5107 \| Fax: (970) 927-5108
Administrative Mailing Address	100 ELK RUN DR STE 206, BASALT, CO, 81621-9241
Enumeration & Last Sync	Enumerated: 2008-03-01 \| CMS Record Updated: 2008-07-29
Authorized Official	AMY CECIL (OWNER)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

100 ELK RUN DR STE 206, BASALT, CO, 81621-9241

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Plain-English Taxonomy & CMS Crosswalk (152WV0400X)

What Does Taxonomy Code 152WV0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152WV0400X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Vision Therapy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 41 (Optometry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Optometrist, Vision Therapy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMY C CECIL OD PLLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`152WV0400X` — Optometrist, Vision Therapy Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Vision Therapy	State: CO \| License: `1261` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AMY C CECIL OD PLLC (NPI #1003086463)