Individual provider Active NPI

Briana Renee Lovell, OD

  • Optometrist
  • Boulder, CO
National Provider Identifier
1023873122
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003954 Issued in CO
Practice address
1855 29TH St # 1E-1156
Boulder, CO 80301-1065
Phone
(720) 565-0445
NPI assigned
Feb 19, 2024
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003954 CO Primary

Addresses

Primary practice location

1855 29TH St # 1E-1156
Boulder, CO 80301-1065

Mailing address

2420 Outlook TRL
Broomfield, CO 80020-9687
Phone (815) 370-6856

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
I20240321000736 CO Practitioner - Optometry 7315384732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altitude Optometry, P.C.Group PAC ID 9234317298, 3 clinicians

Practice addresses (Care Compare)

1855 29TH St
Boulder, CO 80301-1065
Phone (720) 565-0445

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Altitude Optometry, P.C. CurrentSince Mar 17, 2024 Accepting new patients

Locations

1855 29th St
#1E1156
Boulder, CO 80301
Phone (720) 565-0445

1855 29th St
Ste 1E1156
Boulder, CO 80301
Phone (720) 565-6969

Organizations & group practices 1

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1023873122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 OUTLOOK TRL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800209687",
            "telephone_number": "815-370-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 29TH ST # 1E-1156",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011065",
            "telephone_number": "720-565-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELL",
        "first_name": "BRIANA",
        "middle_name": "RENEE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.