Organization Active NPI

Reunion Optical LLC

  • Optometrist
  • Commerce City, CO
National Provider Identifier
1326920190
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
REUNION OPTICAL LLC
Practice address
15400 E 103Rd Place
Commerce City, CO 80022
Phone
(303) 579-8683
Fax
(303) 938-0572
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Dr. Jeffrey B Holland, ODNPI 1811950496
Title
Owner/ Optometrist
Phone
(303) 444-3092

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

15400 E 103Rd Place
Commerce City, CO 80022

Mailing address

1350 College Ave Unit 100
Boulder, CO 80302-7389
Phone (303) 444-3092

Other identifiers 1

IdentifierTypeStateIssuer
1386014397MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260209004050 CO Part B Supplier - Clinic/Group Practice 0840784666 Receives reassigned benefits from 1 practitioner
Practice locations: Commerce City, CO

National Provider Directory

National Provider Directory

Locations

15400 E 103rd Pl
Commerce City, CO 80022
Phone (303) 579-8683

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": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1326920190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 COLLEGE AVE UNIT 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803027389",
            "telephone_number": "303-444-3092",
            "fax_number": "303-938-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 E 103RD PLACE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "80022",
            "telephone_number": "303-579-8683",
            "fax_number": "303-938-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REUNION OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/ OPTOMETRIST",
        "authorized_official_telephone_number": "303-444-3092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386014397",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.