Individual provider Active NPI

Sandra Maria Rugama, OD

  • Optometrist
  • Louisville, CO
National Provider Identifier
1093398570
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003768 Issued in CO
Practice address
615 Main St
Louisville, CO 80027-1894
Phone
(303) 666-6320
Fax
(303) 666-6520
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003768 CO Primary
Optometrist 152W00000X 245606 AK
Optometrist 152W00000X 390200000X TX

Addresses

Primary practice location

615 Main St
Louisville, CO 80027-1894

Mailing address

1824 Alpine Dr
Erie, CO 80516-4015
Phone (956) 483-5983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220405000648 CO Practitioner - Optometry 9739575572 Reassigns benefits to 1 organization
I20251218004471 AK Practitioner - Optometry 9739575572 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
Juneau Eyecare Professionals LLCGroup PAC ID 7315432184, 3 clinicians

Practice addresses (Care Compare)

8800 Glacier Hwy
Suite 118
Juneau, AK 99801-8079
Phone (907) 789-1855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
245606AKMDOptometrist
390200000XTXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince May 9, 2022 Accepting new patients
Juneau Eyecare Professionals LLC Optometrist CurrentSince Nov 1, 2025 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist Current Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince May 9, 2022 Accepting new patients

Locations

8800 Glacier Hwy
Ste 118
Juneau, AK 99801
Phone (907) 789-1855

1550 S Potomac St
Ste 155
Aurora, CO 80012
Phone (303) 369-1020

6750 S Cornerstar Way
Ste E
Aurora, CO 80016
Phone (303) 693-1853

18801 E Hampden Ave
Ste 176
Aurora, CO 80013
Phone (303) 690-6510

1645 28th St
Boulder, CO 80301
Phone (303) 443-4545

6120 Firestone Blvd
Unit 403
Firestone, CO 80504
Phone (303) 772-2755

200 W County Line Rd
Ste 150
Highlands Ranch, CO 80129
Phone (303) 794-2433

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1093398570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 ALPINE DR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805164015",
            "telephone_number": "956-483-5983",
            "fax_number": "303-666-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MAIN ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271894",
            "telephone_number": "303-666-6320",
            "fax_number": "303-666-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGAMA",
        "first_name": "SANDRA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003768",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "245606",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "390200000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.