Individual provider Active NPI

Nathan Pecha, OD

  • Optometrist
  • Denver, CO
National Provider Identifier
1073182010
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3720 Issued in CO
Practice address
8101 E Lowry Blvd Ste 255
Denver, CO 80230-7121
Phone
(303) 794-1111
NPI assigned
Jun 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 3720 CO
Optometrist 152W00000X 3720 CO Primary

Addresses

Primary practice location

8101 E Lowry Blvd Ste 255
Denver, CO 80230-7121

Mailing address

22551 E Euclid PL
Aurora, CO 80016-2351
Phone (312) 694-3784

Other practice location 1

7930 E Northfield Blvd
Denver, CO 80238-3527
Phone (303) 371-0055

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
I20211101001700 CO Practitioner - Optometry 3779988654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glaucoma Consultants of Colorado PCGroup PAC ID 9335053081, 8 clinicians

Practice addresses (Care Compare)

11961 Lioness Way
Parker, CO 80134-5302
Phone (303) 794-1111

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
93.43
Improvement activities
40
Cost
44.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3720COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Care Services, LLC Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Glaucoma Consultants of Colorado, PC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Denver Oculoplastics Multi-Specialty Past Accepting new patients

Locations

7375 W 52nd Ave
Ste 300
Arvada, CO 80002

5150 E Yale Cir
Ste 200
Denver, CO 80222
Phone 3037941111 ext. 7849

8101 E Lowry Blvd
Ste 255
Denver, CO 80230
Phone (303) 393-4330

5150 E Yale Cir
Ste 101
Denver, CO 80222
Phone (303) 758-3284

8381 Southpark Ln
Littleton, CO 80120
Phone (303) 730-0404

11961 Lioness Way
Parker, CO 80134
Phone (720) 880-7851

11963 Lioness Way
Parker, CO 80134

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20225/brand/1/csg/1/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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1073182010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22551 E EUCLID PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800162351",
            "telephone_number": "312-694-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 E LOWRY BLVD STE 255",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307121",
            "telephone_number": "303-794-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7930 E Northfield Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802383527",
            "country_code": "US",
            "telephone_number": "303-371-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECHA",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "3720",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.