Individual provider Active NPI

Tricia Brenner, O.D.

  • Optometrist
  • Greenwood Village, CO
National Provider Identifier
1215085907
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1152 Issued in CO
Practice address
7400 E Orchard Rd
Suite 175-S
Greenwood Village, CO 80111-2528
Phone
(303) 850-9499
Fax
(303) 850-7032
NPI assigned
Jan 8, 2007
Last updated
Aug 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1152 CO Primary

Addresses

Primary practice location

7400 E Orchard Rd
Suite 175-S
Greenwood Village, CO 80111-2528

Mailing address

7400 E Orchard Rd
Suite 175-S
Greenwood Village, CO 80111-2528
Phone (303) 850-9499

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
I20100823000795 CO Practitioner - Optometry 4183630429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hellerstein and Brenner Vision Center P.C.Group PAC ID 0042101560, 5 clinicians

Practice addresses (Care Compare)

7400 E Orchard Rd
Suite 175 S
Greenwood Village, CO 80111-2528
Phone 303850949917

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1152COMDClinical Neuropsychologist

Organizations & group practices 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1215085907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 E ORCHARD RD",
            "address_2": "SUITE 175-S",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112528",
            "telephone_number": "303-850-9499",
            "fax_number": "303-850-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E ORCHARD RD",
            "address_2": "SUITE 175-S",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112528",
            "telephone_number": "303-850-9499",
            "fax_number": "303-850-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "TRICIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.