Noah Cole Wiarda, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2681 Issued in CO

Practice address

4786 McMurry Ave Unit 2a
Fort Collins, CO 80525-4499

Phone

(970) 204-4020

Fax

(970) 658-5830

NPI assigned

Dec 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wiarda Optometry, PLLC

  • Optometrist
  • Fort Collins, CO
  • NPI 1093958514
  Medicare reassignment NPD Authorized official
• Dr Douglas C Kiefer & Associates PC.

  • Optometrist
  • Loveland, CO
  • NPI 1881719474
  NPD (past)

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1326284530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4786 MCMURRY AVE UNIT 2A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254499",
            "telephone_number": "970-204-4020",
            "fax_number": "970-658-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4786 MCMURRY AVE UNIT 2A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254499",
            "telephone_number": "970-204-4020",
            "fax_number": "970-658-5830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 S College Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805253064",
            "country_code": "US",
            "telephone_number": "970-204-4020",
            "fax_number": "970-658-5830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 E Foothills Pkwy",
            "address_2": "M4",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805252624",
            "country_code": "US",
            "telephone_number": "970-226-0540",
            "fax_number": "970-282-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIARDA",
        "first_name": "NOAH",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45836868",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wholeness Center, P.C.
• Wholeness Health, LLC
• Wholeness Health, LLC
• Wholeness Medical Services LLC
• Wiarda Optometry, PLLC
• Kathryn Wick, PA-C
• Trevor Wicken
• Alissa Hays Wicklund, PH.D.
• Erika H Wicks, P.A.-C
• Rowan Wicks, PMHNP-BC

• Optometrist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.