Individual provider Active NPI

Alex C Zemke, O.D.

  • Optometrist
  • Lakewood, CO
National Provider Identifier
1578825634
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0002973 Issued in CO
Practice address
2290 Kipling St Unit 1
Lakewood, CO 80215-1546
Phone
(303) 238-9900
Fax
(303) 238-8527
NPI assigned
Jun 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0002973 CO Primary

Addresses

Primary practice location

2290 Kipling St Unit 1
Lakewood, CO 80215-1546

Mailing address

2290 Kipling St Unit 1
Lakewood, CO 80215-1546
Phone (303) 238-9900

Other identifiers 1

IdentifierTypeStateIssuer
04023859MedicaidCO

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
I20131019000044 CO Practitioner - Optometry 2466600044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alex Zemke OD PLLCGroup PAC ID 5193008993, 4 clinicians

Practice addresses (Care Compare)

2290 Kipling St
Unit 1
Lakewood, CO 80215-1546
Phone (303) 238-9900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0002973COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alex Zemke, OD, PLLC Optometrist CurrentSince Dec 1, 2016 Accepting new patients
Alex Zemke, OD, PLLC Dba Insight Eyecare Center Optometrist Past Accepting new patients

Locations

2290 Kipling St
Lakewood, CO 80215
Phone (303) 232-5637

1345 Wadsworth Blvd
Lakewood, CO 80214
Phone (303) 238-1209

2290 Kipling St
Unit 1
Lakewood, CO 80215
Phone (303) 238-9900

7335 S Pierce St
Littleton, CO 80128
Phone (303) 932-1919

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1578825634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 KIPLING ST UNIT 1",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151546",
            "telephone_number": "303-238-9900",
            "fax_number": "303-238-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 KIPLING ST UNIT 1",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151546",
            "telephone_number": "303-238-9900",
            "fax_number": "303-238-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMKE",
        "first_name": "ALEX",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0002973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04023859",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.