Individual provider Active NPI

Kellen Ruth Riccobono, OD

  • Optometrist
  • Highlands Ranch, CO
National Provider Identifier
1184116097
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003773 Issued in CO
Practice address
9330 S University Blvd Ste 220
Highlands Ranch, CO 80126-5049
Phone
(303) 346-8400
NPI assigned
Jun 6, 2018
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9491TG TX
Optometrist 152W00000X OPT.0003773 CO Primary

Addresses

Primary practice location

9330 S University Blvd Ste 220
Highlands Ranch, CO 80126-5049

Mailing address

9330 S University Blvd Ste 220
Highlands Ranch, CO 80126-5049
Phone (303) 346-8400

Other practice location 1

2040 W 30th Ave
Denver, CO 80211-3882
Phone (720) 826-0123

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@ctectx.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA, CO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180615002193 TX Practitioner - Optometry 4385999333 Reassigns benefits to 2 organizations
I20210503001556 MA Practitioner - Optometry 4385999333 Reassigns benefits to 1 organization
I20250819002548 CO Practitioner - Optometry 4385999333 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lisa M Hamilton, PCGroup PAC ID 8426156175, 4 clinicians
Paige Stephens OD LLCGroup PAC ID 3173938222, 2 clinicians

Practice addresses (Care Compare)

5132 S Wadsworth Blvd
Unit 110
Littleton, CO 80123-2213
Phone (303) 972-9731

9330 S University Blvd
Suite 220
Highlands Ranch, CO 80126-5049
Phone (303) 346-8400

Merit-based Incentive Payment System (MIPS)

Final score
92.1 of 100Reported as group
Quality
98.06
Improvement activities
40
Cost
76.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003773COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paige Stephens OD LLC Optometrist CurrentSince Sep 4, 2025 Accepting new patients
Lisa M Hamilton, PC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Lisa M Hamilton, PC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
University of Houston CurrentSince Jul 1, 2018 Accepting new patients
New England Eye Institute Inc. Optometrist CurrentSince Mar 15, 2021 Accepting new patients
Balcones Eye Center, PA Optometrist CurrentSince Jul 11, 2022 Accepting new patients
University of Houston System Optometrist CurrentSince Jul 1, 2018 Accepting new patients
All About Eyes, LLC Optometrist CurrentSince Apr 28, 2026 Accepting new patients
Lohi Eye Care and Eyewear, LLC Optometrist PastSince May 31, 2020 Accepting new patients
All About Vision, LLC PastSince Apr 28, 2026 Accepting new patients

Locations

2370 E Arapahoe Rd
Ste 921
Centennial, CO 80122
Phone (303) 913-4781

9330 S University Blvd
Ste 220
Highlands Ranch, CO 80126
Phone (303) 346-8400

5132 S Wadsworth Blvd
Unit 110
Littleton, CO 80123
Phone (303) 972-9731

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

4901 Calhoun Rd
Houston, TX 77204
Phone (713) 743-1921

4901 Calhoun Rd
Rm 2107
Houston, TX 77204
Phone (713) 743-1921

2430 S Interstate 35
Ste 106
San Marcos, TX 78666
Phone (512) 353-1300

Interoperability endpoints

  • Direct secure messaging: kellen.riccobono@uprisedirect.com

Organizations & group practices 10

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1184116097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 S UNIVERSITY BLVD STE 220",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265049",
            "telephone_number": "303-346-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 S UNIVERSITY BLVD STE 220",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265049",
            "telephone_number": "303-346-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 W 30th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802113882",
            "country_code": "US",
            "telephone_number": "720-826-0123",
            "fax_number": "720-826-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICCOBONO",
        "first_name": "KELLEN",
        "middle_name": "RUTH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9491TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@ctectx.com",
            "affiliation": "N",
            "address_1": "2430 S Ih 35 Ste 106",
            "city": "San Marcos",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786665912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.