NPIMap

Organization Active NPI

Corneal Consultants of Colorado PC

Doing business as Colorado Eye Consultants

  • Ophthalmology Physician
  • Littleton, CO
National Provider Identifier
1114910759
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CORNEAL CONSULTANTS OF COLORADO PC
Doing business as
Colorado Eye Consultants
Practice address
1501 W Mineral Ave Ste 100
Littleton, CO 80120-5612
Phone
(303) 730-0404
Fax
(720) 647-4210
NPI assigned
Aug 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Dr. Stephan Lance Forstot, MDNPI 1881687432
Title
President
Phone
(303) 730-0404

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

1501 W Mineral Ave Ste 100
Littleton, CO 80120-5612

Mailing address

1501 W Mineral Ave Ste 100
Littleton, CO 80120-5612
Phone (303) 730-0404

Other practice location 1

3235 Mill Vista Rd
Highlands Ranch, CO 80129-2440
Phone (303) 730-0404

Other identifiers 3

IdentifierTypeStateIssuer
B4508OtherBLUE CROSS BLUE SHIELD
CC7541OtherRAILROAD MEDICARE
04005146MedicaidCO

Other names 1

  • Colorado Eye Consultants Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000285 CO Part B Supplier - Clinic/Group Practice 1153210380 Receives reassigned benefits from 15 practitioners
Practice locations: Highlands Ranch, CO; Littleton, CO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Corneal Consultants of2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

30792 Southview Dr
Ste 201
Evergreen, CO 80439
Phone (720) 709-7529

3235 Mill Vista Rd
Highlands Ranch, CO 80129
Phone (303) 730-0404

1501 W Mineral Ave
Ste 100
Littleton, CO 80120
Phone (303) 730-0404

1501 W Mineral Ave
Littleton, CO 80120

1501 W Mineral Ave
Ste 200
Littleton, CO 80120

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1114910759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W MINERAL AVE STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205612",
            "telephone_number": "303-730-0404",
            "fax_number": "303-730-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W MINERAL AVE STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205612",
            "telephone_number": "303-730-0404",
            "fax_number": "720-647-4210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3235 Mill Vista Rd",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801292440",
            "country_code": "US",
            "telephone_number": "303-730-0404",
            "fax_number": "720-647-4210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORNEAL CONSULTANTS OF COLORADO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "FORSTOT",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-730-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "B4508",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC7541",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04005146",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Eye Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.