Individual provider Active NPI

Joshua Mitchell Normandeau

  • Optometrist
  • Thornton, CO
National Provider Identifier
1134978711
Registry record updated Jun 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0004110 Issued in CO
Practice address
13695 Colorado Blvd
Thornton, CO 80602-7051
Phone
(303) 450-2020
Fax
(303) 920-1140
NPI assigned
May 15, 2024
Last updated
Jun 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X OPT.0004110 CO Primary

Addresses

Primary practice location

13695 Colorado Blvd
Thornton, CO 80602-7051

Mailing address

13695 Colorado Blvd
Thornton, CO 80602-7051
Phone (303) 450-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240723003013 IL Practitioner - Optometry 4183160492 Reassigns benefits to 1 organization
I20250715000778 CO Practitioner - Optometry 4183160492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Vista Eye Care, PCGroup PAC ID 8123152113, 9 clinicians

Practice addresses (Care Compare)

13695 Colorado Blvd
Thornton, CO 80602-7051
Phone (303) 450-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011863ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois College of Optometry Optometrist CurrentSince Jul 10, 2024 Accepting new patients
Vista Eye Care, PC Optometrist CurrentSince Aug 18, 2025 Accepting new patients
Vision & Eye Health Associates Optometrist PastSince Aug 18, 2025 Accepting new patients

Locations

13695 Colorado Blvd
Thornton, CO 80602
Phone (303) 450-2020

3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200

3241 S Michigan Ave
Ste 1
Chicago, IL 60616
Phone (312) 225-6200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, 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": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782000000000",
    "number": "1134978711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13695 COLORADO BLVD",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027051",
            "telephone_number": "303-450-2020",
            "fax_number": "303-920-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13695 COLORADO BLVD",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027051",
            "telephone_number": "303-450-2020",
            "fax_number": "303-920-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMANDEAU",
        "first_name": "JOSHUA",
        "middle_name": "MITCHELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0004110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.