Individual provider Active NPI

Ashley Marie Houdek, OD

  • Optometrist
  • Broomfield, CO
National Provider Identifier
1215783204
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0004003 Issued in CO
Practice address
10445 Reed St
Broomfield, CO 80021-6063
Phone
(303) 410-8310
NPI assigned
Apr 29, 2024
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0004003 CO Primary

Addresses

Primary practice location

10445 Reed St
Broomfield, CO 80021-6063

Mailing address

445 E Rd
Chapman, NE 68827-3700

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
I20240603003267 CO Practitioner - Optometry 3274075460 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0004003COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Houdek Vision LLC Single Specialty CurrentSince Apr 4, 2025 Accepting new patients
North Park Vision Center, P.C. Single Specialty CurrentSince Jun 4, 2024 Accepting new patients

Locations

9601 Grant St
Thornton, CO 80229
Phone (303) 453-4964

10359 Federal Blvd
Ste 100
Westminster, CO 80260
Phone (303) 428-7231

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, 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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1215783204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E RD",
            "city": "CHAPMAN",
            "state": "NE",
            "postal_code": "688273700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10445 REED ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800216063",
            "telephone_number": "303-410-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUDEK",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0004003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.