Individual provider Active NPI

Taylor Nicole Little, OD

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1386120228
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003414 Issued in CO
Practice address
110 S Weber St
Colorado Springs, CO 80903-1908
Phone
(719) 576-5844
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003414 CO Primary

Addresses

Primary practice location

110 S Weber St
Colorado Springs, CO 80903-1908

Mailing address

110 S Weber St
Colorado Springs, CO 80903-1908
Phone (719) 576-5844

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
I20180828003167 CO Practitioner - Optometry 9436409224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Center of Colorado SpringsGroup PAC ID 3274509500, 4 clinicians

Practice addresses (Care Compare)

110 S Weber St
Colorado Springs, CO 80903-1908
Phone (719) 576-5844

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Center of Colorado Springs Optometrist CurrentSince Aug 9, 2018 Accepting new patients

Locations

110 S Weber St
Colorado Springs, CO 80903
Phone (719) 576-5844

Organizations & group practices 1

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1386120228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WEBER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031908",
            "telephone_number": "719-576-5844",
            "fax_number": "719-576-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S WEBER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031908",
            "telephone_number": "719-576-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.