NPIMap

Organization Active NPI

Children's Eye Physicians P.C.

Doing business as Colorado Family Eye Center

  • Ophthalmology Physician
  • Wheat Ridge, CO
National Provider Identifier
1114962651
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CHILDREN'S EYE PHYSICIANS P.C.
Doing business as
Colorado Family Eye Center
Practice address
4875 Ward Rd
Suite 600
Wheat Ridge, CO 80033-1942
Phone
(303) 456-9456
Fax
(303) 463-7560
NPI assigned
Jun 18, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mrs. Lynette Bridges
Title
Practice Administrator/Ceo
Phone
(303) 463-5784

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

4875 Ward Rd
Suite 600
Wheat Ridge, CO 80033-1942

Mailing address

4875 Ward Rd
Suite 600
Wheat Ridge, CO 80033-1942
Phone (303) 456-9456

Other identifiers 1

IdentifierTypeStateIssuer
04010328MedicaidCO

Other names 1

  • Colorado Family Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000766 CO Part B Supplier - Clinic/Group Practice 5890686158 Receives reassigned benefits from 19 practitioners
4 other NPIs on this enrollment
Practice locations: Boulder, CO; Centennial, CO; Denver, CO; Erie, CO; Grand Junction, CO; Wheat Ridge, CO

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Robert a King MD7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

9094 E Mineral Cir
Ste 250
Centennial, CO 80112

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1114962651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 WARD RD",
            "address_2": "SUITE 600",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331942",
            "telephone_number": "303-456-9456",
            "fax_number": "303-463-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 WARD RD",
            "address_2": "SUITE 600",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331942",
            "telephone_number": "303-456-9456",
            "fax_number": "303-463-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S EYE PHYSICIANS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "303-463-5784",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04010328",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Family Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.