Individual provider Active NPI

Benjamin Thomas Warta, O.D.

  • Optometrist
  • Denver, CO
National Provider Identifier
1174573414
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2232 Issued in CO
Practice address
2766 S Wadsworth Blvd
Denver, CO 80227-3408
Phone
(303) 935-2020
Fax
(303) 935-4989
NPI assigned
May 10, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2232 CO Primary

Addresses

Primary practice location

2766 S Wadsworth Blvd
Denver, CO 80227-3408

Mailing address

10141 Astorbrook LN
Littleton, CO 80126-7834
Phone (720) 344-8230

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
I20040219000743 CO Practitioner - Optometry 8325933195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2232COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Oct 14, 2019 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist Current Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Oct 14, 2019 Accepting new patients

Locations

1550 S Potomac St
Ste 155
Aurora, CO 80012
Phone (303) 369-1020

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

9370 S Colorado Blvd
Unit A4
Highlands Ranch, CO 80126
Phone (303) 471-9300

2766 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 935-2020

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, 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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174573414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10141 ASTORBROOK LN",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801267834",
            "telephone_number": "720-344-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 S WADSWORTH BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802273408",
            "telephone_number": "303-935-2020",
            "fax_number": "303-935-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARTA",
        "first_name": "BENJAMIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.