Wiarda Optometry, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WIARDA OPTOMETRY, PLLC

Practice address

4786 McMurry Ave Unit 2a
Fort Collins, CO 80525-4499

Phone

(970) 204-4020

NPI assigned

Apr 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Noah Cole Wiarda, O.D.NPI 1326284530

Title

Managing Member

Phone

(248) 467-4422

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noah Cole Wiarda, O.D.

  • Optometrist
  • Fort Collins, CO
  • NPI 1326284530
  Medicare reassignment NPD Authorized official
• Norman C Gee, OD

  • Optometrist
  • Longmont, CO
  • NPI 1457561243
  NPD (past)
• Becky Sue Haley, O.D.

  • Optometrist
  • Fort Morgan, CO
  • NPI 1407908767
  NPD (past)
• Douglas C Kiefer, O.D.

  • Optometrist
  • Loveland, CO
  • NPI 1306807821
  NPD (past)
• John A Molinario, O.D.

  • Optometrist
  • Fort Collins, CO
  • NPI 1083701627
  NPD (past)

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1093958514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4786 MCMURRY AVE UNIT 2A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254499",
            "telephone_number": "248-467-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4786 MCMURRY AVE UNIT 2A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254499",
            "telephone_number": "970-204-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 S College Ave",
            "address_2": "B8",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805253064",
            "country_code": "US",
            "telephone_number": "970-204-4020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WIARDA OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "WIARDA",
        "authorized_official_first_name": "NOAH",
        "authorized_official_middle_name": "COLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "248-467-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97237388",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Wholeness Health, LLC
• Wholeness Medical Services LLC
• Noah Cole Wiarda, O.D.
• Kathryn Wick, PA-C
• Trevor Wicken
• Alissa Hays Wicklund, PH.D.
• Erika H Wicks, P.A.-C

• Optometrist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.