Organization Active NPI

Casey Optical Colorado LLC

  • Optometrist
  • Littleton, CO
National Provider Identifier
1134628407
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
614 Issued in NM
Legal business name
CASEY OPTICAL COLORADO LLC
Practice address
2 W Dry Creek Cir Ste 230
Littleton, CO 80120-8069
Phone
(303) 798-2555
Fax
(303) 798-2555
NPI assigned
Feb 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Andrea Hands, OD
Title
Owner
Phone
(505) 798-7520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 614 NM Primary

Addresses

Primary practice location

2 W Dry Creek Cir Ste 230
Littleton, CO 80120-8069

Mailing address

121 Eubank Blvd NE
Albuquerque, NM 87123-2744
Phone (505) 219-3113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180514001552 CO Part B Supplier - Clinic/Group Practice 9931463288 Receives reassigned benefits from 1 practitioner
Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Locations

26 W Dry Creek Cir
Ste 230
Littleton, CO 80120
Phone (303) 798-7520

121 Eubank Blvd NE
Albuquerque, NM 87123

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1134628407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232744",
            "telephone_number": "505-219-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W DRY CREEK CIR STE 230",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208069",
            "telephone_number": "303-798-2555",
            "fax_number": "303-798-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY OPTICAL COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "HANDS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-798-7520",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 10, 2018; 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.