Individual provider Active NPI

Brenda Gilchrist, O.D.

  • Optometrist
  • Boulder, CO
National Provider Identifier
1326453978
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003055 Issued in CO
Practice address
1790 30TH St Ste 311
Boulder, CO 80301-1020
Phone
(303) 443-2257
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003055 CO Primary

Addresses

Primary practice location

1790 30TH St Ste 311
Boulder, CO 80301-1020

Mailing address

1790 30TH St Ste 311
Boulder, CO 80301-1020
Phone (303) 443-2257

Other names 1

  • Brenda Garcia Former name

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
I20180130000173 CO Practitioner - Optometry 7719247493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5385 W 38TH Ave
Bright Eyes Family Vision Clinic
Wheat Ridge, CO 80212-7058
Phone (303) 476-6292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003055COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Eyes Vision Clinic PC a Colorado Professional Corporation Optometrist CurrentSince Dec 23, 2017 Accepting new patients
Bright Eyes Vision Clinic PC a Colorado Professional Corporation Optometrist CurrentSince Nov 8, 2020 Accepting new patients
Bright Eyes Vision Clinic PC a Colorado Professional Corporation Optometrist PastSince Nov 8, 2020 Accepting new patients

Locations

326 Dozier Ave
Canon City, CO 81212
Phone (719) 276-0344

2020 Wadsworth Blvd
Ste 11
Lakewood, CO 80214
Phone (303) 431-1221

5385 W 38th Ave
Wheat Ridge, CO 80212
Phone (303) 476-6292

Organizations & group practices 3

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1326453978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 30TH ST STE 311",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011020",
            "telephone_number": "303-443-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 30TH ST STE 311",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011020",
            "telephone_number": "303-443-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILCHRIST",
        "first_name": "BRENDA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "GARCIA",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.