Organization Active NPI

Optimal Eyecare, P.C.

  • Optometrist
  • Northglenn, CO
National Provider Identifier
1316601974
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTIMAL EYECARE, P.C.
Practice address
10669 Melody Dr
Northglenn, CO 80234-4113
Phone
(303) 452-9312
Fax
(303) 452-3515
NPI assigned
Oct 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Heather Marie Adler, ODNPI 1518266188
Title
Owner
Phone
(303) 452-9312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10669 Melody Dr
Northglenn, CO 80234-4113

Mailing address

P.O. Box 549
12470 York Street
Eastlake, CO 80614-0549
Phone (303) 842-7632

Other names 1

  • Optimal Eyecare - Northglenn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211115000931 CO Part B Supplier - Clinic/Group Practice 0244629194 Receives reassigned benefits from 2 practitioners
Practice locations: Broomfield, CO; Northglenn, CO

National Provider Directory

National Provider Directory
Tax ID family
Optimal Eyecare - Northglenn2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1316601974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 549",
            "address_2": "12470 YORK STREET",
            "city": "EASTLAKE",
            "state": "CO",
            "postal_code": "806140549",
            "telephone_number": "303-842-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10669 MELODY DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344113",
            "telephone_number": "303-452-9312",
            "fax_number": "303-452-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-452-9312",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Eyecare - Northglenn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.