Individual provider Active NPI

Magina Tepliz, OD

  • Optometrist
  • Denver, CO
National Provider Identifier
1033693080
Registry record updated Sep 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003413 Issued in CO
Practice address
9888 E Vassar Dr Apt E304
Denver, CO 80231-5977
Phone
(973) 820-3964
NPI assigned
Sep 15, 2018
Last updated
Sep 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2018

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.0003413 CO Primary

Addresses

Primary practice location

9888 E Vassar Dr Apt E304
Denver, CO 80231-5977

Mailing address

9888 E Vassar Dr Apt E304
Denver, CO 80231-5977
Phone (973) 820-3964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20211129000574 CT Practitioner - Optometry 5799018321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Eyecare Associates PCGroup PAC ID 2769538594, 8 clinicians

Practice addresses (Care Compare)

2600 Post Rd
Southport, CT 06890-3206
Phone (203) 255-4005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003413COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, P.C. Optometrist CurrentSince Nov 20, 2021 Accepting new patients

Locations

2600 Post Rd
Southport, CT 06890
Phone (203) 255-4005

992 High Ridge Rd
Stamford, CT 06905
Phone (203) 321-1300

6515 Main St
Trumbull, CT 06611
Phone (203) 268-9114

6515 Main St
Ste 12
Trumbull, CT 06611
Phone (203) 374-2020

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": "1536969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536969600000",
    "number": "1033693080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 E VASSAR DR APT E304",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315977",
            "telephone_number": "973-820-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 E VASSAR DR APT E304",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315977",
            "telephone_number": "973-820-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPLIZ",
        "first_name": "MAGINA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-15",
        "last_updated": "2018-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.