Individual provider Active NPI

Terri Dawn Oneby, OD

  • Optometrist
  • Boulder, CO
National Provider Identifier
1457462012
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0001580 Issued in CO
Practice address
1645 28TH St
Boulder, CO 80301-1001
Phone
(505) 828-4923
Fax
(505) 213-0103
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 417 NM
Optometrist 152W00000X OPT.0001580 CO Primary

Addresses

Primary practice location

1645 28TH St
Boulder, CO 80301-1001

Mailing address

1950 Old Gallows Rd Ste 300
Vienna, VA 22182-3977
Phone (703) 847-8899

Other identifiers 2

IdentifierTypeStateIssuer
87280787MedicaidNM
P01503322OtherNMRAILROAD MEDICARE - PALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100506000382 NM Practitioner - Optometry 2365570637 Reassigns benefits to 1 organization
I20161019002669 CO Practitioner - Optometry 2365570637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Colorado PCGroup PAC ID 7113359415, 58 clinicians

Practice addresses (Care Compare)

1050 17TH St
A110
Denver, CO 80265-1050
Phone (303) 298-9410

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 Associates of New Mexico LTD Optometrist CurrentSince Oct 13, 2014 Accepting new patients
Eye Associates of New Mexico LTD Optometrist CurrentSince Oct 13, 2014 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince May 24, 2021 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist Current Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince May 24, 2021 Accepting new patients

Locations

1645 28th St
Boulder, CO 80301
Phone (303) 443-4545

3301 30th St
Boulder, CO 80301
Phone (303) 443-4311

1050 17th St
#A110
Denver, CO 80265
Phone (303) 298-9410

1050 17th St
Ste A110
Denver, CO 80265
Phone (303) 298-9410

200 W County Line Rd
Ste 150
Highlands Ranch, CO 80129
Phone (303) 794-2433

8801 Horizon Blvd NE
Ste 360
Albuquerque, NM 87113
Phone (505) 246-2622

3701 Eubank Blvd NE
Albuquerque, NM 87111
Phone (505) 298-2020

1740 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 892-3434

2947 Rodeo Park Dr E
Santa Fe, NM 87505
Phone (505) 474-9880

1399 Weimer Rd
Ste 300
Taos, NM 87571
Phone (505) 758-0621

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: toneby020772@myeyedr.emadirect.md

Organizations & group practices 5

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1457462012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 300",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823977",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 28TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011001",
            "telephone_number": "505-828-4923",
            "fax_number": "505-213-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEBY",
        "first_name": "TERRI",
        "middle_name": "DAWN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "417",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0001580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87280787",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - PALMETTO GBA",
            "identifier": "P01503322",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.