Active NPI
Edge Optics LLC
- Optometrist
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2364
- Legal business name
- EDGE OPTICS LLC
- Practice address
- 121 Laporte Ave
Fort Collins, CO 80524-4379 - Phone
- (970) 682-2627
- NPI assigned
- Dec 6, 2012
- Last updated
- Feb 14, 2025
- 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
- Dr. Mason Tamblyn Bryant, O.D.
- Title
- Optometrist
- Phone
- (970) 682-2627
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2364 | CO | Primary |
Addresses
Primary practice location
121 Laporte Ave
Fort Collins, CO 80524-4379
Mailing address
706 S College Ave
Suite 101
Fort Collins, CO 80524-9817
Phone (970) 682-2627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Edge Optics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Loveland, CO
- NPI 1184562795
Locations
121 La Porte Ave
Fort Collins, CO 80524
Phone (970) 682-2627
706 S College Ave
Ste 101
Fort Collins, CO 80524
Phone (970) 682-2627
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Fort Collins, CO
- NPI 1457455859
-
- Optometrist
- Fort Collins, CO
- NPI 1235622564
-
- Optometrist
- Aurora, CO
- NPI 1710611223
-
- Optometrist
- Lakewood, CO
- NPI 1609438902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739491200000",
"number": "1033454806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 S COLLEGE AVE",
"address_2": "SUITE 101",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805249817",
"telephone_number": "970-682-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 LAPORTE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244379",
"telephone_number": "970-682-2627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDGE OPTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-06",
"last_updated": "2025-02-14",
"certification_date": "2025-02-11",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "MASON",
"authorized_official_middle_name": "TAMBLYN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "970-682-2627",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CO",
"license": "2364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.