Active NPI
Myeyedr Optometry of Colorado PC
- Optometrist
- Longmont, CO
National Provider Identifier
1023735362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR OPTOMETRY OF COLORADO PC
- Practice address
- 2130 Mountain View Ave Ste 207
Longmont, CO 80501-3177 - Phone
- (303) 772-2755
- Fax
- (303) 773-0104
- NPI assigned
- Oct 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2130 Mountain View Ave Ste 207
Longmont, CO 80501-3177
Mailing address
8614 Westwood Center Dr
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 1
- MyEyeDr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191106003288 | CO | Part B Supplier - Clinic/Group Practice | 7113359415 |
Receives reassigned benefits from 116 practitioners 30 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Aurora, CO; Thornton, CO; Parker, CO; Longmont, CO; Lakewood, CO; Highlands Ranch, CO; Greeley, CO; Fort Collins, CO… |
Other NPIs on the same Medicare enrollment 30
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2300433 | Myeyedr Optometry of Colorado PC | Certificate of waiver | Mar 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
8614 Westwood Center Dr
Vienna, VA 22182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666828800000",
"number": "1023735362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 MOUNTAIN VIEW AVE STE 207",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013177",
"telephone_number": "303-772-2755",
"fax_number": "303-773-0104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYEYEDR OPTOMETRY OF COLORADO PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-27",
"last_updated": "2022-10-27",
"certification_date": "2022-10-24",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyEyeDr.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.