NPIMap

Individual provider Active NPI

Cecelia Catherine Koetting, O.D.

  • Optometrist
  • Aurora, CO
National Provider Identifier
1174864318
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003736 Issued in CO
Practice address
1675 Aurora CT
Aurora, CO 80045-2517
Phone
(720) 848-0000
NPI assigned
Mar 13, 2013
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003736 CO Primary
Ophthalmology Physician 207W00000X 0618002360 VA

Addresses

Primary practice location

1675 Aurora CT
Aurora, CO 80045-2517

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

2480 S Downing St Ste G30
Denver, CO 80210-5889
Phone (720) 924-3745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140921000012 VA Practitioner - Optometry 9133368509 Reassigns benefits to 1 organization
I20221031000233 CO Practitioner - Optometry 9133368509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

1675 Aurora CT
Aurora, CO 80045-2517
Phone (720) 848-0000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003736COMDMental Health Counselor
0618002360VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Jul 1, 2023 Accepting new patients
University Physicians, Incorporated CurrentSince Jul 1, 2023 Accepting new patients
University Physicians Incorporated Ophthalmology Current Accepting new patients
Virginia Eye Consultants Inc Optometrist CurrentSince Jul 28, 2014 Accepting new patients
Aurora Eye Physicians PC Ophthalmology PastSince Jun 17, 2022 Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1675 Aurora Ct
Aurora, CO 80045
Phone (720) 748-2020

1675 Aurora Ct
Ste F731
Aurora, CO 80045
Phone (720) 848-2020

Dept 1061
Denver, CO 80256

241 Corporate Blvd
Norfolk, VA 23502
Phone (757) 362-3577

241 Corporate Blvd
Ste 210
Norfolk, VA 23502
Phone (757) 742-3902

Interoperability endpoints

  • Direct secure messaging: cecelia.koetting.p1@direct.vec.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1174864318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 AURORA CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452517",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2480 S Downing St Ste G30",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802105889",
            "country_code": "US",
            "telephone_number": "720-924-3745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOETTING",
        "first_name": "CECELIA",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003736",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0618002360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.