Active NPI
Mark Alan Steinbrecher, OD
- Optometrist
- Lakewood, CO
National Provider Identifier
1306926753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1911
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-02799 | Other | MN | MEDICA |
| 2265008 | Other | MN | UNITED HEALTH CARE |
| 38625800 | Other | MN | GROUP HEALTH |
| 7286215 | Other | MN | AETNA |
| 132715 | Other | MN | U CARE |
| 430L8ST | Other | MN | BLUE CROSS BLUE SHEILD |
| 647281043269 | Other | MN | PREFFERED 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1911 | CO | MD | Clinical Psychologist |
| 3006 | WI | MD | Chiropractor |
| 1911 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Pro II Inc | Optometrist | Past | 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.
-
- Optometrist
- Duluth, MN
- NPI 1982756789
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.