Individual provider Active NPI

Joshua Marc Lahiff, O.D.

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1356531685
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2594 Issued in CO
Practice address
2407 S College Ave
Unit 300
Fort Collins, CO 80525-1773
Phone
(970) 484-3787
Fax
(970) 484-0133
NPI assigned
Aug 1, 2007
Last updated
Aug 1, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2594 CO Primary

Addresses

Primary practice location

2407 S College Ave
Unit 300
Fort Collins, CO 80525-1773

Mailing address

11103 West Ave
Ste 6
San Antonio, TX 78213-1370
Phone (210) 524-6803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070925000569 WY Practitioner - Optometry 7113011834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 E Pershing Blvd
Cheyenne, WY 82001-3230

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2594COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne Vision Clinic P.C. Optometrist CurrentSince Aug 17, 2007 Accepting new patients
Cheyenne Vision Clinic P.C. Optometrist Current Accepting new patients
Eye Center of Northern Colorado, P.C. Past Accepting new patients

Locations

1200 E Pershing Blvd
Cheyenne, WY 82001
Phone (307) 638-6610

1854 Dell Range Blvd
Cheyenne, WY 82009
Phone (307) 634-3937

313 S 2nd St
Laramie, WY 82070
Phone (307) 721-3937

408 S 2nd St
Laramie, WY 82070
Phone (307) 721-3937

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1356531685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "STE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6803",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 S COLLEGE AVE",
            "address_2": "UNIT 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251773",
            "telephone_number": "970-484-3787",
            "fax_number": "970-484-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHIFF",
        "first_name": "JOSHUA",
        "middle_name": "MARC",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.