Individual provider Active NPI

Mark Alan Steinbrecher, OD

  • Optometrist
  • Lakewood, CO
National Provider Identifier
1306926753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1911 Issued in CO
Practice address
14500 W Colfax Ave
Ste 309
Lakewood, CO 80401-3203
Phone
(720) 301-2954
Fax
(509) 463-2891
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2999 MN
Optometrist 152W00000X 3006 WI
Optometrist 152W00000X 1911 CO Primary

Addresses

Primary practice location

14500 W Colfax Ave
Ste 309
Lakewood, CO 80401-3203

Mailing address

9690 Bellmore LN
Littleton, CO 80126-4971
Phone (720) 301-2954

Other identifiers 7

IdentifierTypeStateIssuer
22-02799OtherMNMEDICA
2265008OtherMNUNITED HEALTH CARE
38625800OtherMNGROUP HEALTH
7286215OtherMNAETNA
132715OtherMNU CARE
430L8STOtherMNBLUE CROSS BLUE SHEILD
647281043269OtherMNPREFFERED ONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1911COMDClinical Psychologist
3006WIMDChiropractor
1911NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Pro II Inc Optometrist PastSince Aug 1, 2012 Accepting new patients

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306926753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9690 BELLMORE LN",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801264971",
            "telephone_number": "720-301-2954",
            "fax_number": "509-463-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 W COLFAX AVE",
            "address_2": "STE 309",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013203",
            "telephone_number": "720-301-2954",
            "fax_number": "509-463-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINBRECHER",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2999",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3006",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "22-02799",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2265008",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "38625800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7286215",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "132715",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "430L8ST",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFFERED ONE",
            "identifier": "647281043269",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.