Individual provider Active NPI

Audrey Lynn Hudson, OD

  • Optometrist
  • Englewood, CO
National Provider Identifier
1073175337
Registry record updated Jul 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003503 Issued in CO
Practice address
180 E Hampden Ave Ste 200
Englewood, CO 80113-2518
Phone
(303) 482-1300
NPI assigned
Jul 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2019

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.0003503 CO Primary

Addresses

Primary practice location

180 E Hampden Ave Ste 200
Englewood, CO 80113-2518

Mailing address

180 E Hampden Ave Ste 200
Englewood, CO 80113-2518
Phone (303) 482-1300

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
I20190812003080 CO Practitioner - Optometry 0840527990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2019
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.0003503COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Corneal Specialists PC CurrentSince Jul 8, 2019 Accepting new patients

Locations

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

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

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1073175337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E HAMPDEN AVE STE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132518",
            "telephone_number": "303-482-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E HAMPDEN AVE STE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132518",
            "telephone_number": "303-482-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "AUDREY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-07",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.