Individual provider Active NPI

Elizabeth Erley, OD

  • Optometrist
  • Boulder, CO
National Provider Identifier
1629353172
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0001802 Issued in CO
Practice address
3301 30TH St
Boulder, CO 80301-1401
Phone
(303) 443-4311
Fax
(303) 443-4313
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X CO1802 CO
Optometrist 152W00000X OPT.0001802 CO Primary

Addresses

Primary practice location

3301 30TH St
Boulder, CO 80301-1401

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other names 1

  • Liz Erley Other name

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
I20190904000028 CO Practitioner - Optometry 5092043174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Center of Northern Colorado, PCGroup PAC ID 6507834181, 16 clinicians

Practice addresses (Care Compare)

1400 Dry Creek Dr
Longmont, CO 80503-6499
Phone (303) 772-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0001802COMDOptometrist
CO1802COMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Nov 11, 2019 Accepting new patients
Eye Care Center of Northern Colorado, PC CurrentSince Apr 20, 2025 Accepting new patients
Eye Care Center of Northern Colorado Current Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist Current Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Nov 11, 2019 Accepting new patients

Locations

3301 30th St
Boulder, CO 80301
Phone (303) 443-4311

1050 17th St
#A110
Denver, CO 80265
Phone (303) 298-9410

200 W County Line Rd
Ste 150
Highlands Ranch, CO 80129
Phone (303) 794-2433

300 Exempla Cir
Ste 120
Lafayette, CO 80026
Phone (303) 665-8766

1400 Dry Creek Dr
Longmont, CO 80503
Phone (303) 682-3383

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

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": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1629353172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 30TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011401",
            "telephone_number": "303-443-4311",
            "fax_number": "303-443-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERLEY",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "CO1802",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0001802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "ERLEY",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.