Individual provider Active NPI

Lauren Marie Imbornoni, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Aurora, CO
National Provider Identifier
1396163069
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
DR.0059903 Issued in CO
Practice address
13123 E 16TH Ave
Aurora, CO 80045
Phone
(720) 777-1234
NPI assigned
Mar 31, 2014
Last updated
Jul 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X DR.0059903 CO Primary

Addresses

Primary practice location

13123 E 16TH Ave
Aurora, CO 80045

Mailing address

PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000

Other practice location 1

1721 E 19th Ave
#520
Denver, CO 80218-1251
Phone (303) 839-6741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007001095 AZ Practitioner - Ophthalmology 5890050025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arizona College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sean J McCafferty MD PCGroup PAC ID 9931187325, 17 clinicians

Practice addresses (Care Compare)

6422 E Speedway Blvd
Suite 100
Tucson, AZ 85710-1151
Phone (520) 327-3487

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sean J. McCafferty, MD, PC Ophthalmology CurrentSince Oct 1, 2019 Accepting new patients
Children's Clinics for Rehabilitative Services CurrentSince Nov 21, 2019 Accepting new patients
Cornea Associates, PLLC Ophthalmology CurrentSince Oct 1, 2019 Accepting new patients
Christopher M Seniw MD PC Ophthalmology PastSince Nov 11, 2002 Accepting new patients

Locations

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

3055 W Ina Rd
Ste 121
Tucson, AZ 85741
Phone (520) 293-5353

2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600

6422 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 325-9400

6422 E Speedway Blvd
Tucson, AZ 85710

3910 N Campbell Ave
Tucson, AZ 85719
Phone (520) 323-2466

2177 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 797-2020

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, 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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1396163069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429",
            "telephone_number": "303-493-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13123 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "720-777-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 E 19th Ave",
            "address_2": "#520",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181251",
            "country_code": "US",
            "telephone_number": "303-839-6741",
            "fax_number": "303-869-2258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMBORNONI",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "CO",
            "license": "DR.0059903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.