Altitude Optometry, P.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

2573 Issued in CO

Legal business name

ALTITUDE OPTOMETRY, P.C.

Practice address

1855 29TH St # 1E-1156
Boulder, CO 80301-1065

Phone

(720) 565-0445

Fax

(720) 565-0649

NPI assigned

Jun 19, 2009

Organization subpart

No

Name

Monica Mortenson, O.D.NPI 1225165335

Title

Optometrist

Phone

(720) 565-0445

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

• Monica Mortenson, O.D.

  • Optometrist
  • Boulder, CO
  • NPI 1225165335

  CO

  Medicare reassignment Care Compare group NPD Authorized official
• Miranda Koehler, OD

  • Optometrist
  • Boulder, CO
  • NPI 1558105536

  CO

  Medicare reassignment Care Compare group NPD
• Briana Renee Lovell, OD

  • Optometrist
  • Boulder, CO
  • NPI 1023873122

  CO

  Medicare reassignment Care Compare group NPD
• Lawrence Fluss, O.D.

  • Optometrist
  • Boulder, CO
  • NPI 1053734913

  CO

  Medicare reassignment NPD
• Michael Delatte, O.D.

  • Optometrist
  • Bridgewater, NJ
  • NPI 1508903170

  CO

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2011.

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1114154804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 29TH ST # 1E-1156",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011065",
            "telephone_number": "720-565-0445",
            "fax_number": "720-565-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 29TH ST # 1E-1156",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011065",
            "telephone_number": "720-565-0445",
            "fax_number": "720-565-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTITUDE OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "MORTENSON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "720-565-0445",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CO",
            "license": "2573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Richard Altdorfer, DDS
• Alison Kate Alter, FNP
• Elaine Alterman
• Alternative Health Clinic, PC
• Travis Althouse
• Altitude Physical Therapy & Sports Medicine LLC
• Altitude Wellness Counseling
• Kasmira Alvarado
• Larissa Alvarado, LMT
• Zainab Alyasseri

• All providers in Boulder, CO
• Health Service Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.