Individual provider Active NPI

Melissa L Atencio, OD

  • Optometrist
  • Loveland, CO
National Provider Identifier
1114535739
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003587 Issued in CO
Practice address
2249 W Eisenhower Blvd
Loveland, CO 80537-3147
Phone
(970) 669-4587
NPI assigned
Jul 20, 2020
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003587 CO Primary

Addresses

Primary practice location

2249 W Eisenhower Blvd
Loveland, CO 80537-3147

Mailing address

325 Acoma Dr
Grand Junction, CO 81503-2801
Phone (970) 623-0374

Other practice location 1

13800 Veterans Way
Orlando, FL 32827-7401
Phone (970) 623-0374

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
I20210826001993 CO Practitioner - Optometry 0840695052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians

Practice addresses (Care Compare)

2249 W Eisenhower Blvd
Loveland, CO 80537-3147
Phone (970) 669-4587

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003587COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients

Locations

3545 W 12th St
Ste 101
Greeley, CO 80634
Phone (970) 352-4200

8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727

412 Main St
Longmont, CO 80501
Phone (303) 651-6700

2249 W Eisenhower Blvd
Loveland, CO 80537
Phone (970) 667-8533

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1114535739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 ACOMA DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815032801",
            "telephone_number": "970-623-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 W EISENHOWER BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373147",
            "telephone_number": "970-669-4587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13800 Veterans Way",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277401",
            "country_code": "US",
            "telephone_number": "970-623-0374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATENCIO",
        "first_name": "MELISSA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.