Individual provider Active NPI

Mallori Aschenbrenner, O.D.

  • Optometrist
  • Highlands Ranch, CO
National Provider Identifier
1619316288
Registry record updated Jan 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2984 Issued in CO
Practice address
4008 Red Cedar Dr
Unit D1
Highlands Ranch, CO 80126-8152
Phone
(303) 471-2244
Fax
(303) 471-7879
NPI assigned
Jun 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2984 CO Primary

Addresses

Primary practice location

4008 Red Cedar Dr
Unit D1
Highlands Ranch, CO 80126-8152

Mailing address

4008 Red Cedar Dr
Unit D1
Highlands Ranch, CO 80126-8152
Phone (303) 471-2244

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
I20130913000115 CO Practitioner - Optometry 7719121748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loock Perfect Image EyecareGroup PAC ID 1456418474, 2 clinicians

Practice addresses (Care Compare)

4008 Red Cedar Dr
Suite 1
Highlands Ranch, CO 80126-8063
Phone (303) 720-0242

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Loock Perfect Image Eyecare Optometrist CurrentSince Jun 25, 2013 Accepting new patients

Locations

4008 Red Cedar Dr
Unit D1
Highlands Ranch, CO 80126
Phone (303) 471-2244

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, 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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517097600000",
    "number": "1619316288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 RED CEDAR DR",
            "address_2": "UNIT D1",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268152",
            "telephone_number": "303-471-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 RED CEDAR DR",
            "address_2": "UNIT D1",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268152",
            "telephone_number": "303-471-2244",
            "fax_number": "303-471-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASCHENBRENNER",
        "first_name": "MALLORI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2018-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.