Individual provider Active NPI

Lee Shuwarger, O.D.

  • Optometrist
  • Pueblo, CO
National Provider Identifier
1306856141
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT2072 Issued in CO
Practice address
2568 Taylor LN
Pueblo, CO 81005-2743
Phone
(719) 733-3060
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT2072 CO Primary

Addresses

Primary practice location

2568 Taylor LN
Pueblo, CO 81005-2743

Mailing address

2568 Taylor LN
Pueblo, CO 81005-2743
Phone (719) 733-3060

Other identifiers 1

IdentifierTypeStateIssuer
112449703MedicaidTX

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
I20180913001775 CO Practitioner - Optometry 0143384156 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yah VisionGroup PAC ID 8628328010, 4 clinicians

Practice addresses (Care Compare)

2568 Taylor LN
Pueblo, CO 81005-2743
Phone (719) 733-3060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT2072COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
GVR Vision Now LLC Optometrist CurrentSince Mar 23, 2022 Accepting new patients
Sweet Optics LLC Optometrist CurrentSince Apr 16, 2025 Accepting new patients
Yah Vision Optometrist Current Accepting new patients
Yah Vision LLC Optometrist CurrentSince Aug 10, 2018 Accepting new patients
Sol Vision Management LLC Optometrist CurrentSince May 19, 2026 Accepting new patients
Yah Vision LLC Optometrist CurrentSince Aug 10, 2018 Accepting new patients
Unique Vision Care Optometrist Past Accepting new patients
Yah Optics LLC Optometrist PastSince May 19, 2026 Accepting new patients

Locations

216 Victoria Ave
Alamosa, CO 81101
Phone (719) 631-4110

3464 N Salida St
Aurora, CO 80011
Phone (303) 307-9999

1201 Royal Gorge Blvd
Ste B
Canon City, CO 81212
Phone (719) 507-4518

116 W 3rd St
La Junta, CO 81050
Phone (719) 733-3303

2041 Pepper Ln
Pueblo, CO 81005
Phone (719) 415-3400

2568 Taylor Ln
Pueblo, CO 81005
Phone (719) 733-3060

1021 N Market Plz
Ste 110
Pueblo West, CO 81007
Phone (719) 257-3959

Organizations & group practices 8

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1306856141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 TAYLOR LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052743",
            "telephone_number": "719-733-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568 TAYLOR LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052743",
            "telephone_number": "719-733-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUWARGER",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT2072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112449703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.