Active NPI
Mile High Senior Eyecare LLC
- Optometrist
- Lone Tree, CO
National Provider Identifier
1386351864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MILE HIGH SENIOR EYECARE LLC
- Practice address
- 10416 Lynx Run
Lone Tree, CO 80124-9536 - Phone
- (720) 819-5594
- NPI assigned
- Nov 3, 2022
- Last updated
- Nov 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jessica Schuman, OD
- Title
- Optometrist/Owner
- Phone
- (720) 819-5594
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
10416 Lynx Run
Lone Tree, CO 80124-9536
Mailing address
10416 Lynx Run
Lone Tree, CO 80124-9536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8200 S Quebec St
Ste A3110
Centennial, CO 80112
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667433600000",
"number": "1386351864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10416 LYNX RUN",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801249536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10416 LYNX RUN",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801249536",
"telephone_number": "720-819-5594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILE HIGH SENIOR EYECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A",
"authorized_official_last_name": "SCHUMAN",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "720-819-5594",
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.