NPIMap

Organization Active NPI

Southlands Vision Associates

  • Optometrist
  • Aurora, CO
National Provider Identifier
1184645178
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SOUTHLANDS VISION ASSOCIATES
Practice address
6290 S Main St Ste 100
Aurora, CO 80016-5379
Phone
(720) 480-4711
Fax
(720) 870-9438
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Dr. Kristen C Nicholson, O.D.NPI 1700834538
Title
Office Manager
Phone
(303) 755-0545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6290 S Main St Ste 100
Aurora, CO 80016-5379

Mailing address

6290 S Main St Ste 100
Aurora, CO 80016-5379
Phone (303) 766-0545

Other names 1

  • Altitude Eye Care at Southlands Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060906000080 CO Part B Supplier - Clinic/Group Practice 6709880792 Receives reassigned benefits from 7 practitioners
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

6290 S Main St
Ste 100
Aurora, CO 80016
Phone (303) 766-0545

6290 S Main St
Ste 101
Aurora, CO 80016

Practitioners & affiliated clinicians

Practitioners 7

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1184645178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 S MAIN ST STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165379",
            "telephone_number": "303-766-0545",
            "fax_number": "303-766-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 S MAIN ST STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165379",
            "telephone_number": "720-480-4711",
            "fax_number": "720-870-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLANDS VISION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-755-0545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altitude Eye Care at Southlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.