Individual provider Active NPI

Teresa L Carlson, OD

  • Optometrist
  • Parker, CO
National Provider Identifier
1649200262
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2144 Issued in CO
Practice address
11960 Lioness Way
190
Parker, CO 80134-5640
Phone
(303) 794-1111
Fax
(303) 347-1341
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2144 CO Primary

Addresses

Primary practice location

11960 Lioness Way
190
Parker, CO 80134-5640

Mailing address

19960 Lioness Way
190
Parker, CO 80134
Phone (303) 794-1111

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
I20061011000783 CO Practitioner - Optometry 6406852649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glaucoma Consultants of Colorado PCGroup PAC ID 9335053081, 8 clinicians

Practice addresses (Care Compare)

11961 Lioness Way
Parker, CO 80134-5302
Phone (303) 794-1111

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
93.43
Improvement activities
40
Cost
44.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2144COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Glaucoma Consultants of Colorado, PC CurrentSince Jul 1, 2015 Accepting new patients
Associated Eye Care Services, LLC Optometrist CurrentSince Dec 30, 2015 Accepting new patients

Locations

7375 W 52nd Ave
Ste 300
Arvada, CO 80002

5150 E Yale Cir
Ste 200
Denver, CO 80222
Phone 3037941111 ext. 7849

8381 Southpark Ln
Littleton, CO 80120
Phone (303) 730-0404

11961 Lioness Way
Parker, CO 80134
Phone (720) 880-7851

11960 Lioness Way
Ste 190
Parker, CO 80134
Phone (303) 649-3790

11963 Lioness Way
Parker, CO 80134

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1649200262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19960 LIONESS WAY",
            "address_2": "190",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "303-794-1111",
            "fax_number": "303-347-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 LIONESS WAY",
            "address_2": "190",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345640",
            "telephone_number": "303-794-1111",
            "fax_number": "303-347-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "TERESA",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.