Individual provider Active NPI

Angela Bryant, OD

  • Optometrist
  • Aurora, CO
National Provider Identifier
1366293029
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003991 Issued in CO
Practice address
700 S Buckley Rd Apt K
Aurora, CO 80017-3253
Phone
(720) 762-4290
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003991 CO Primary

Addresses

Primary practice location

700 S Buckley Rd Apt K
Aurora, CO 80017-3253

Mailing address

1649 Yarmouth Ave Unit 1
Boulder, CO 80304-0501

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
I20240520000536 CO Practitioner - Optometry 1850732033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children'S Eye Physicians P.C.Group PAC ID 5890686158, 14 clinicians

Practice addresses (Care Compare)

4875 Ward Rd
Suite 600
Wheat Ridge, CO 80033-1944
Phone (303) 456-9456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003991COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Envy Vision Inc Optometrist CurrentSince Apr 4, 2024 Accepting new patients
Children'S Eye Physicians P.C. Current Accepting new patients
Children'S Eye Physicians P.C. CurrentSince Jul 15, 2025 Accepting new patients
Children'S Eye Physicians P.C. CurrentSince Jul 15, 2025 Accepting new patients

Locations

700 S Buckley Rd
Apt K
Aurora, CO 80017
Phone (720) 762-4290

9094 E Mineral Cir
Ste 250
Centennial, CO 80112

3464 S Willow St
Ste 410
Denver, CO 80231

2373 Central Park Blvd
Unit 102
Denver, CO 80238
Phone (303) 463-5792

2400 Village Vista Dr
Erie, CO 80516

4875 Ward Rd
Ste 600
Wheat Ridge, CO 80033

Interoperability endpoints

  • Direct secure messaging: angela.bryant.p1@direct.cepcolorado.nextgenshare.com

Organizations & group practices 4

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": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1366293029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 YARMOUTH AVE UNIT 1",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S BUCKLEY RD APT K",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800173253",
            "telephone_number": "720-762-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ANGELA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.