Individual provider Active NPI

Monique Rene' Mikula, O.D.

  • Occupational Vision Optometrist
  • Greeley, CO
National Provider Identifier
1013040542
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
OPT1684 Issued in CO
Practice address
3545 W 12TH St
Ste 101
Greeley, CO 80634-2545
Phone
(970) 356-9743
Fax
(970) 352-4278
NPI assigned
Mar 13, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT1684 CO
Corneal and Contact Management Optometrist 152WC0802X OPT1684 CO
Pediatric Optometrist 152WP0200X OPT1684 CO
Vision Therapy Optometrist 152WV0400X OPT1684 CO
Occupational Vision Optometrist 152WX0102X OPT1684 CO Primary

Addresses

Primary practice location

3545 W 12TH St
Ste 101
Greeley, CO 80634-2545

Mailing address

3545 W 12TH St
Ste 101
Greeley, CO 80634-2545
Phone (970) 356-9743

Other names 1

  • Monique Rene' Bishop Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000493 CO Practitioner - Optometry 5698709889 Reassigns benefits to 1 organization
Practice locations: Greeley, CO

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians

Practice addresses (Care Compare)

3545 W 12TH St
Suite 101
Greeley, CO 80634-2545
Phone (970) 352-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT1684COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Apr 5, 2021 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Apr 5, 2021 Accepting new patients
Monique Mikula Optometrist PastSince Jan 1, 1990 Accepting new patients

Locations

3545 W 12th St
Ste 101
Greeley, CO 80634
Phone (970) 352-4200

8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727

412 Main St
Longmont, CO 80501
Phone (303) 651-6700

Networks

  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • NM HMO C-SNP

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1013040542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 W 12TH ST",
            "address_2": "STE 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342545",
            "telephone_number": "970-356-9743",
            "fax_number": "970-352-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 W 12TH ST",
            "address_2": "STE 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342545",
            "telephone_number": "970-356-9743",
            "fax_number": "970-352-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULA",
        "first_name": "MONIQUE",
        "middle_name": "RENE'",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT1684",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "OPT1684",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CO",
            "license": "OPT1684",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "OPT1684",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CO",
            "license": "OPT1684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "BISHOP",
            "middle_name": "RENE'",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.