Individual provider Active NPI

Kendra Weiler, OD

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1134614555
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003394 Issued in CO
Practice address
9320 Grand Cordera Pkwy Ste 255
Colorado Springs, CO 80924-7021
Phone
(719) 258-1240
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003394 CO Primary

Addresses

Primary practice location

9320 Grand Cordera Pkwy Ste 255
Colorado Springs, CO 80924-7021

Mailing address

9320 Grand Cordera Pkwy
Ste 255
Colorado Springs, CO 80924-7021

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
I20190806000995 CO Practitioner - Optometry 8527395169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Eye Care, PCGroup PAC ID 5890684872, 4 clinicians
James Lee MD PCGroup PAC ID 2264533892, 8 clinicians

Practice addresses (Care Compare)

4999 E Kentucky Ave
Suite 102
Denver, CO 80246-2280
Phone (303) 691-0777

9320 Grand Cordera Pkwy
Suite 255
Colorado Springs, CO 80924-7003
Phone (719) 258-1240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003394COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Eye Care, PC CurrentSince Feb 25, 2026 Accepting new patients
James Lee MD PC CurrentSince Aug 1, 2019 Accepting new patients

Locations

9320 Grand Cordera Pkwy
#25
Colorado Springs, CO 80924
Phone (719) 258-1240

9320 Grand Cordera Pkwy
Ste 255
Colorado Springs, CO 80924
Phone (719) 258-1240

4999 E Kentucky Ave
Ste 102
Denver, CO 80246
Phone (303) 388-2401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12165/brand/1/csg/1/fhir/r4

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1134614555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 GRAND CORDERA PKWY",
            "address_2": "STE 255",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 GRAND CORDERA PKWY STE 255",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247021",
            "telephone_number": "719-258-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILER",
        "first_name": "KENDRA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.