Organization Active NPI

Steinberg Optometry, P.C.

  • Optometrist
  • Boulder, CO
National Provider Identifier
1114175684
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2268 Issued in CO
Legal business name
STEINBERG OPTOMETRY, P.C.
Practice address
1933 28TH St
Suite 206
Boulder, CO 80301-1100
Phone
(303) 447-8470
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Dr. Lowell Steinberg, O.D.NPI 1164566543
Title
Optometrist
Phone
(303) 447-8470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2268 CO Primary

Addresses

Primary practice location

1933 28TH St
Suite 206
Boulder, CO 80301-1100

Mailing address

4509 Wellington Rd
Boulder, CO 80301-3155
Phone (720) 939-4774

Other identifiers 1

IdentifierTypeStateIssuer
18109829MedicaidCO

Other names 1

  • Visions Eye Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131025000238 CO Part B Supplier - Clinic/Group Practice 6507091667 Receives reassigned benefits from 1 practitioner
Practice locations: Boulder, CO

National Provider Directory

National Provider Directory

Locations

1933 28th St
Ste 206
Boulder, CO 80301
Phone (303) 447-8470

3100 Arapahoe Ave
Ste 101
Boulder, CO 80303
Phone (303) 447-8470

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1114175684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 WELLINGTON RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013155",
            "telephone_number": "720-939-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 28TH ST",
            "address_2": "SUITE 206",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011100",
            "telephone_number": "303-447-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEINBERG OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "303-447-8470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18109829",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visions Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.