Individual provider Active NPI

Marta Roman, OD

  • Optometrist
  • Arvada, CO
National Provider Identifier
1114579992
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3980 Issued in CO
Practice address
7913 Allison Way Ste 102
Arvada, CO 80005-4450
Phone
(303) 424-5282
Fax
(303) 424-8291
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2693 MD
Optometrist 152W00000X 3980 CO Primary

Addresses

Primary practice location

7913 Allison Way Ste 102
Arvada, CO 80005-4450

Mailing address

7913 Allison Way Ste 102
Arvada, CO 80005-4450
Phone (303) 424-5282

Other identifiers 2

IdentifierTypeStateIssuer
TA2693OtherMDSTATE LICENSE
3980OtherCOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CO2 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
I20190823001373 MD Practitioner - Optometry 8729316070 Reassigns benefits to 1 organization
I20241031002677 CO Practitioner - Optometry 8729316070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Shawn Cottrell O.D., P.C.Group PAC ID 7517143498, 4 clinicians

Practice addresses (Care Compare)

7913 Allison Way
102 Aravada Optometric Center
Arvada, CO 80005-4450
Phone (303) 424-5282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3980COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
BFT Vision Inc Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Dr. Shawn Cottrell O.D., P.C. Optometrist CurrentSince Oct 23, 2024 Accepting new patients
Aeg Maryland Professional LLC Optometrist PastSince Apr 20, 2025 Accepting new patients

Locations

7913 Allison Way
Ste 102
Arvada, CO 80005
Phone (303) 424-5282

139 Ritchie Hwy
Ste B
Severna Park, MD 21146
Phone (410) 544-4717

Organizations & group practices 3

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1114579992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7913 ALLISON WAY STE 102",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800054450",
            "telephone_number": "303-424-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7913 ALLISON WAY STE 102",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800054450",
            "telephone_number": "303-424-5282",
            "fax_number": "303-424-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "MARTA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2693",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "TA2693",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3980",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.