Individual provider Active NPI

Emily Lemburg, OD

  • Optometrist
  • Castle Rock, CO
National Provider Identifier
1215317789
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3143 Issued in CO
Practice address
658 Genoa Way Ste B
Castle Rock, CO 80109-3891
Phone
(303) 337-2020
NPI assigned
May 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3143 CO Primary

Addresses

Primary practice location

658 Genoa Way Ste B
Castle Rock, CO 80109-3891

Mailing address

658 Genoa Way Ste B
Castle Rock, CO 80109-3891
Phone (303) 337-2020

Other practice location 1

2130 Stout St
Denver, CO 80205-2827
Phone (563) 508-6477

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
I20150901001738 CO Practitioner - Optometry 3779899042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevation Vision OD PLLCGroup PAC ID 4284988015, 2 clinicians

Practice addresses (Care Compare)

1001 S Perry St
Suite 101B
Castle Rock, CO 80104-1921
Phone (303) 337-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3143COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Vision OD PLLC Optometrist CurrentSince Aug 26, 2018 Accepting new patients

Locations

658 Genoa Way
Ste B
Castle Rock, CO 80109
Phone (303) 337-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1215317789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 GENOA WAY STE B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093891",
            "telephone_number": "303-337-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 GENOA WAY STE B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093891",
            "telephone_number": "303-337-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Stout St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802052827",
            "country_code": "US",
            "telephone_number": "563-508-6477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMBURG",
        "first_name": "EMILY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-31",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.