Active NPI
Annette Marie Paulaskas, O.D.
- Optometrist
- Greeley, CO
National Provider Identifier
1467638684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1487
- Practice address
- 4759 W 29TH St
Unit C
Greeley, CO 80634-8380 - Phone
- (970) 339-0087
- Fax
- (970) 339-5685
- NPI assigned
- Jan 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1487 | CO | Primary |
Addresses
Primary practice location
4759 W 29TH St
Unit C
Greeley, CO 80634-8380
Mailing address
3886 E 116TH Ave
Thornton, CO 80233-2548
Phone (303) 254-6690
Other names 1
- Dr. Jessica Annette Paulaskas-Lane
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1487 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision, Inc | Past | Accepting new patients | |
| Teleoptometric Service, Co PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba America's Best Contacts & Eyeglasses #5360
- Eyewear Supplier
- Greeley, CO
- NPI 1659428126
-
- Optometrist
- Greeley, CO
- NPI 1558026120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1467638684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3886 E 116TH AVE",
"city": "THORNTON",
"state": "CO",
"postal_code": "802332548",
"telephone_number": "303-254-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4759 W 29TH ST",
"address_2": "UNIT C",
"city": "GREELEY",
"state": "CO",
"postal_code": "806348380",
"telephone_number": "970-339-0087",
"fax_number": "970-339-5685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULASKAS",
"first_name": "ANNETTE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-17",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "1487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "PAULASKAS-LANE",
"middle_name": "ANNETTE",
"prefix": "DR.",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.