Individual provider Active NPI

Grace Dille

  • Optometrist
  • Greeley, CO
National Provider Identifier
1124813522
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0004121 Issued in CO
Practice address
2867 35TH Ave
Greeley, CO 80634-9407
Phone
(970) 346-1411
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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 OPT.0004121 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2867 35TH Ave
Greeley, CO 80634-9407

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20250630002065 CO Practitioner - Optometry 1759894173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Colorado PCGroup PAC ID 7113359415, 58 clinicians

Practice addresses (Care Compare)

200 W County Line Rd
Suite 150
Highlands Ranch, CO 80129-2361
Phone (303) 794-2433

2130 Mountain View Ave
Suite 207
Longmont, CO 80501-3177
Phone (303) 772-2755

2867 35TH Ave
Greeley, CO 80634-9407
Phone (970) 346-1411

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Colorado PC Optometrist Current Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Jul 28, 2025 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Jul 28, 2025 Accepting new patients

Locations

3301 30th St
Boulder, CO 80301
Phone (303) 443-4311

1645 28th St
Boulder, CO 80301
Phone (303) 443-4545

5760 W 120th Ave
Ste 240
Broomfield, CO 80020
Phone (303) 239-3937

6120 Firestone Blvd
Unit 403
Firestone, CO 80504
Phone (303) 772-2755

3500 S College Ave
Ste 180
Fort Collins, CO 80525
Phone (970) 489-8388

2867 35th Ave
Greeley, CO 80634
Phone (970) 346-1411

200 W County Line Rd
Ste 150
Highlands Ranch, CO 80129
Phone (303) 794-2433

2130 Mountain View Ave
Ste 207
Longmont, CO 80501
Phone (303) 647-4183

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1124813522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2867 35TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349407",
            "telephone_number": "970-346-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLE",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0004121",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.