Individual provider Active NPI

Mara Walsh, OD

  • Optometrist
  • Aurora, CO
National Provider Identifier
1598861957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2307 Issued in CO
Practice address
13955 East Mississippi
Aurora, CO 80012
Phone
(303) 695-4999
Fax
(303) 695-0896
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2307 CO Primary

Addresses

Primary practice location

13955 East Mississippi
Aurora, CO 80012

Mailing address

11103 West Avenue
San Antonio, TX 78213
Phone (210) 524-6803

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
I20051205000066 CO Practitioner - Optometry 4183644248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2307COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sowash Optometry Group PC Optometrist CurrentSince Dec 1, 2020 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Dec 1, 2020 Accepting new patients

Locations

13955 E Mississippi Ave
Aurora, CO 80012
Phone (303) 695-4999

1 Flatiron Cir
Ste 2026
Broomfield, CO 80021
Phone (303) 469-0857

7238 N Academy Blvd
Colorado Springs, CO 80920
Phone (719) 292-9991

3740 Bloomington St
Colorado Springs, CO 80922
Phone (719) 597-6987

7305 E 35th Ave
Unit 180
Denver, CO 80238
Phone (303) 320-0222

2407 S College Ave
Ste 300
Fort Collins, CO 80525
Phone (970) 484-3787

355 S Wadsworth Blvd
Unit D
Lakewood, CO 80226
Phone (720) 962-6906

14500 W Colfax Ave
Unit 524
Lakewood, CO 80401
Phone (303) 271-0354

8501 W Bowles Ave
Ste 1050
Littleton, CO 80123
Phone (303) 948-3332

9078 Westview Rd
Lone Tree, CO 80124
Phone (303) 662-8977

1242 S Hover St
Ste C200
Longmont, CO 80501
Phone (303) 678-2985

4200 N Freeway Rd
Ste 120
Pueblo, CO 81008

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

9410 Sheridan Blvd
Westminster, CO 80031
Phone (303) 429-1382

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598861957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVENUE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78213",
            "telephone_number": "210-524-6803",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13955 EAST MISSISSIPPI",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80012",
            "telephone_number": "303-695-4999",
            "fax_number": "303-695-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MARA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.