Individual provider Active NPI

Leilani Michelle Phillips-Borstad, O.D.

  • Optometrist
  • Littleton, CO
National Provider Identifier
1578569331
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2135 Issued in CO
Practice address
5104 S Field St
Ste C
Littleton, CO 80123-7308
Phone
(303) 979-3937
Fax
(866) 881-3396
NPI assigned
Jun 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2135 CO Primary

Addresses

Primary practice location

5104 S Field St
Ste C
Littleton, CO 80123-7308

Mailing address

5104 S Field St
Ste. C
Littleton, CO 80123-7329
Phone (303) 979-3937

Other identifiers 5

IdentifierTypeStateIssuer
CO2135OtherCOEYEMED
920370OtherCOBLOCK
805234OtherCOMEDICARE GROUP
82677824MedicaidCO
5178222OtherCOCIGNA

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
I20051012000415 CO Practitioner - Optometry 1153346770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5104 S Field St
Suite C
Littleton, CO 80123-7330
Phone (303) 979-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2135COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Belleview Eye Associates, Inc. Optometrist CurrentSince Apr 1, 2006 Accepting new patients
University Hills Eye Center, P.C. Optometrist Past Accepting new patients
Dna Pharmacy PastSince Jun 30, 2024 Accepting new patients

Locations

5104 S Field St
Ste C
Littleton, CO 80123
Phone (303) 979-3937

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1578569331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 S FIELD ST",
            "address_2": "STE. C",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801237329",
            "telephone_number": "303-979-3937",
            "fax_number": "866-881-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 S FIELD ST",
            "address_2": "STE C",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801237308",
            "telephone_number": "303-979-3937",
            "fax_number": "866-881-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-BORSTAD",
        "first_name": "LEILANI",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "CO2135",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK",
            "identifier": "920370",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "805234",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82677824",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5178222",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.