Individual provider Active NPI

Roger Alan Hulme, OD

  • Optometrist
  • Loveland, CO
National Provider Identifier
1528036829
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1220 Issued in CO
Practice address
2677 N Taft Ave
Loveland, CO 80538-3121
Phone
(970) 667-5511
Fax
(970) 292-5213
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1220 CO Primary
Corneal and Contact Management Optometrist 152WC0802X 1220 CO

Addresses

Primary practice location

2677 N Taft Ave
Loveland, CO 80538-3121

Mailing address

2677 N Taft Ave
Loveland, CO 80538-3121
Phone (970) 667-5511

Other identifiers 9

IdentifierTypeStateIssuer
001951048OtherPAHIGHMARK BCBS, PA
649971OtherCOANTHEM
1220OtherCOSTATE LICENSE
3633036OtherCIGNA
4534960OtherAETNA
693852OtherCOVENTRY HEALTH CARE
1437181781OtherCONPI TYPE 11
906772107603OtherEYESPECIALISTS
99893OtherWELLMARK BCBS IOWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061211000325 CO Practitioner - Optometry 2769464783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Hour Optical Medical Services, PCGroup PAC ID 4880662485, 42 clinicians

Practice addresses (Care Compare)

1685 S Co Blvd
Unit O
Denver, CO 80222-4011
Phone (303) 757-6747

3850 Grant Ave
Suite 130
Loveland, CO 80538-8431
Phone (970) 667-5511

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1220COMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: roger.hulme@direct.revolutionehr.com

Organizations & group practices 1

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1528036829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 N TAFT AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383121",
            "telephone_number": "970-667-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 N TAFT AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383121",
            "telephone_number": "970-667-5511",
            "fax_number": "970-292-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULME",
        "first_name": "ROGER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1220",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "1220",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS, PA",
            "identifier": "001951048",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "649971",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1220",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3633036",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4534960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE",
            "identifier": "693852",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 11",
            "identifier": "1437181781",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYESPECIALISTS",
            "identifier": "906772107603",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS IOWA",
            "identifier": "99893",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.