Individual provider Active NPI

Nathan Lohmeyer, OD

  • Optometrist
  • Broomfield, CO
National Provider Identifier
1609950021
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2615 Issued in CO
Practice address
4 Garden Ctr
Ste 100
Broomfield, CO 80020-7026
Phone
(303) 469-1941
Fax
(303) 469-6634
NPI assigned
Oct 24, 2006
Last updated
Jun 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2615 CO Primary

Addresses

Primary practice location

4 Garden Ctr
Ste 100
Broomfield, CO 80020-7026

Mailing address

4 Garden Ctr
Ste 100
Broomfield, CO 80020-7026
Phone (303) 469-1941

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
I20090323000249 CO Practitioner - Optometry 7911994165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Lohmeyer EyecareGroup PAC ID 5799057998, 2 clinicians

Practice addresses (Care Compare)

3300 Irving St
Denver, CO 80211-3127
Phone (303) 322-4652

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2615COMDPhysician Assistant
006524NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lohmeyer Eyecare Optometrist CurrentSince Jun 11, 2017 Accepting new patients
Eyellusion Vision Center Incorporated Past Accepting new patients
Eye Q Optometrist PC Optometrist Past Accepting new patients
Eyellusion Vision Center Incorporated Past Accepting new patients

Locations

2515 Eliot St
Denver, CO 80211
Phone (718) 541-3583

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1609950021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GARDEN CTR",
            "address_2": "STE 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207026",
            "telephone_number": "303-469-1941",
            "fax_number": "303-469-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GARDEN CTR",
            "address_2": "STE 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207026",
            "telephone_number": "303-469-1941",
            "fax_number": "303-469-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHMEYER",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.