Individual provider Active NPI

Kaitlin Anna Speth, O.D.

  • Optometrist
  • Denver, CO
National Provider Identifier
1255954095
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003593 Issued in CO
Practice address
4660 Yosemite St Ste 150
Denver, CO 80238-4482
Phone
(303) 284-9889
Fax
(303) 284-9914
NPI assigned
May 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0003593 CO Primary

Addresses

Primary practice location

4660 Yosemite St Ste 150
Denver, CO 80238-4482

Mailing address

4660 Yosemite St Ste 150
Denver, CO 80238-4482
Phone (303) 284-9889

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
I20200618000493 CO Practitioner - Optometry 8820410913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevated Eyecare PCGroup PAC ID 5294046827, 3 clinicians

Practice addresses (Care Compare)

4660 Yosemite St
Suite 150
Denver, CO 80238-4482
Phone (303) 284-9889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003593COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Eyes Vision Care, P.C. Optometrist CurrentSince Jun 4, 2020 Accepting new patients
Elevated Eyecare, P.C. Optometrist CurrentSince Aug 1, 2023 Accepting new patients

Locations

3459 W 32nd Ave
Denver, CO 80211
Phone (303) 433-5820

4660 Yosemite St
Ste 150
Denver, CO 80238
Phone (303) 284-9889

3620 W 29th Ave
Denver, CO 80211
Phone (303) 433-5820

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1255954095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 YOSEMITE ST STE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802384482",
            "telephone_number": "303-284-9889",
            "fax_number": "303-284-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 YOSEMITE ST STE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802384482",
            "telephone_number": "303-284-9889",
            "fax_number": "303-284-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPETH",
        "first_name": "KAITLIN",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.