Organization Active NPI

Complete Eye Care, Inc.

  • Optometrist
  • Westminster, CO
National Provider Identifier
1225222151
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1738 Issued in CO
Legal business name
COMPLETE EYE CARE, INC.
Practice address
11480 Sheridan Blvd Ste 100
Westminster, CO 80020-3347
Phone
(303) 404-2020
Fax
(303) 404-2097
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Mrs. Linda Sue Carlson, O.DNPI 1841221884
Title
President/Owner
Phone
(303) 404-2020

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 1738 CO Primary

Addresses

Primary practice location

11480 Sheridan Blvd Ste 100
Westminster, CO 80020-3347

Mailing address

11480 Sheridan Blvd Ste 100
Westminster, CO 80020-3347
Phone (303) 404-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609000247 CO Part B Supplier - Clinic/Group Practice 6901889229 Receives reassigned benefits from 2 practitioners
Practice locations: Westminster, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2229576Complete Eye Care11480 Sheridan Blvd, Ste 100, Westminster, CO 80020Certificate of waiverJul 13, 2027

National Provider Directory

National Provider Directory

Locations

11480 Sheridan Blvd
Ste 100
Westminster, CO 80020
Phone (303) 404-2020

11187 Sheridan Blvd
Unit 3
Westminster, CO 80020
Phone (303) 404-2020

Practitioners & affiliated clinicians

Practitioners 6

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": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1225222151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11480 SHERIDAN BLVD STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800203347",
            "telephone_number": "303-404-2020",
            "fax_number": "303-404-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 SHERIDAN BLVD STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800203347",
            "telephone_number": "303-404-2020",
            "fax_number": "303-404-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "303-404-2020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.