Individual provider Active NPI

Nicholas P Stoffregen, O.D.

  • Optometrist
  • Westminster, CO
National Provider Identifier
1457518508
Registry record updated Dec 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2694 Issued in CO
Practice address
9499 Sheridan Blvd
Westminster, CO 80031-6532
Phone
(303) 427-0872
Fax
(303) 412-0619
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2694 CO Primary
Optometrist 152W00000X 2004018248 MO
Optometrist 152W00000X 2962455 IL

Addresses

Primary practice location

9499 Sheridan Blvd
Westminster, CO 80031-6532

Mailing address

12942 Grant Cir E
Unit a
Thornton, CO 80241-2497
Phone (816) 721-3684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2962455ILMDOptometrist
2004018248MOMDOptometrist
2694COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stoffregen Eyecare LLC Optometrist Current Accepting new patients
Stoffregen Eyecare LLC Optometrist Current Accepting new patients
Visionworks, Inc. Optometrist Past Accepting new patients

Locations

9499 Sheridan Blvd
Westminster, CO 80031
Phone (303) 427-0872

Organizations & group practices 3

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702080000000",
    "number": "1457518508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12942 GRANT CIR E",
            "address_2": "UNIT A",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412497",
            "telephone_number": "816-721-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9499 SHERIDAN BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316532",
            "telephone_number": "303-427-0872",
            "fax_number": "303-412-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFFREGEN",
        "first_name": "NICHOLAS",
        "middle_name": "P",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2694",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2004018248",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "2962455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.