Individual provider Active NPI

Madeline Alene Graber, OD

  • Optometrist
  • Sheridan, CO
National Provider Identifier
1043716269
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003470 Issued in CO
Practice address
3535 River Point Pkwy
Sheridan, CO 80110-3322
Phone
(303) 482-1300
Fax
(303) 482-1356
NPI assigned
Apr 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 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.0003470 CO Primary

Addresses

Primary practice location

3535 River Point Pkwy
Sheridan, CO 80110-3322

Mailing address

3535 River Point Pkwy
Sheridan, CO 80110-3322
Phone (303) 482-1300

Other practice location 1

2130 Stout St
Denver, CO 80205-2827
Phone (303) 293-2220

Other identifiers 1

IdentifierTypeStateIssuer
9000174604MedicaidCO

Other names 1

  • Madeline Alene Jones 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
I20190813003515 CO Practitioner - Optometry 6901133958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile High Corneal Specialists PCGroup PAC ID 3274698980, 9 clinicians

Practice addresses (Care Compare)

3535 River Point Pkwy
Suite 200
Sheridan, CO 80110-3325
Phone (303) 482-1300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003470COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Coalition for the Homeless CurrentSince Dec 24, 2024 Accepting new patients
Mile High Corneal Specialists PC CurrentSince Jul 15, 2019 Accepting new patients
Colorado Coalition for the Homeless CurrentSince Dec 24, 2024 Accepting new patients

Locations

2111 Champa St
Denver, CO 80205
Phone (303) 293-2217

2130 Stout St
Denver, CO 80205
Phone (303) 293-2217

180 E Hampden Ave
Ste 200
Englewood, CO 80113
Phone (303) 482-1300

3535 River Point Pkwy
Sheridan, CO 80110
Phone (303) 482-1300

3535 River Point Pkwy
Ste 200
Sheridan, CO 80110
Phone (303) 482-1300

Networks

  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Interoperability endpoints

  • FHIR API: https://milehighcornealspecialistspc.ef.prod.fhir.ema-api.com/fhir/r4/

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": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1043716269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 RIVER POINT PKWY",
            "city": "SHERIDAN",
            "state": "CO",
            "postal_code": "801103322",
            "telephone_number": "303-482-1300",
            "fax_number": "303-482-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 RIVER POINT PKWY",
            "city": "SHERIDAN",
            "state": "CO",
            "postal_code": "801103322",
            "telephone_number": "303-482-1300",
            "fax_number": "303-482-1356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Stout St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802052827",
            "country_code": "US",
            "telephone_number": "303-293-2220",
            "fax_number": "303-296-8826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABER",
        "first_name": "MADELINE",
        "middle_name": "ALENE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000174604",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "JONES",
            "middle_name": "ALENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sheridan, CO

Sources for this page

Verify at the official NPI Registry.