Individual provider Active NPI

David William Himel, OD

  • Optometrist
  • Denver, CO
National Provider Identifier
1235122045
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0001403 Issued in CO
Practice address
1407 W 84TH Ave Unit B8
Denver, CO 80260-4753
Phone
(720) 214-4746
Fax
(720) 214-4745
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MH0193514 CO
Optometrist 152W00000X OPT.0001403 CO Primary

Addresses

Primary practice location

1407 W 84TH Ave Unit B8
Denver, CO 80260-4753

Mailing address

1280 Centaur Village Dr
Ste 2
Lafayette, CO 80026-3175
Phone (303) 604-1060

Other identifiers 2

IdentifierTypeStateIssuer
OPT.0001403OtherCOSTATE LICENSE
9000107459MedicaidCO

Other names 1

  • David W Himel Other name

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
I20060922000103 CO Practitioner - Optometry 4486659620 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0001403COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Eye Associates, P.C. Optometrist CurrentSince Jul 16, 2014 Accepting new patients

Locations

511 Crossing Dr
Ste 102
Lafayette, CO 80026
Phone (303) 663-2068

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235122045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 CENTAUR VILLAGE DR",
            "address_2": "STE 2",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263175",
            "telephone_number": "303-604-1060",
            "fax_number": "720-890-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 W 84TH AVE UNIT B8",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802604753",
            "telephone_number": "720-214-4746",
            "fax_number": "720-214-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMEL",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2023-03-07",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "MH0193514",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0001403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPT.0001403",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000107459",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "HIMEL",
            "middle_name": "W",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.