Individual provider Active NPI

Amman James Starr, O.D.

  • Optometrist
  • Loveland, CO
National Provider Identifier
1649450529
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3552 Issued in CO
Practice address
114 14TH St SW
Loveland, CO 80537-6341
Phone
(970) 587-3937
NPI assigned
Nov 8, 2007
Last updated
May 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60274075 WA
Optometrist 152W00000X 3552 CO Primary

Addresses

Primary practice location

114 14TH St SW
Loveland, CO 80537-6341

Mailing address

114 14TH St SW
Loveland, CO 80537-6341
Phone (970) 587-3937

Other practice location 1

4050 S Timberline Rd Unit 120
Fort Collins, CO 80525-6023
Phone (970) 282-8888

Other identifiers 1

IdentifierTypeStateIssuer
9000182555MedicaidCO

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
I20200714002328 CO Practitioner - Optometry 3971752841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanner Vision PCGroup PAC ID 0446432272, 2 clinicians

Practice addresses (Care Compare)

114 14TH St SW
Loveland, CO 80537-6341
Phone (970) 587-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3552COMDOptometrist
60274075WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Vision PC Optometrist CurrentSince May 26, 2024 Accepting new patients
Tanner Vision PC Optometrist CurrentSince Mar 2, 2025 Accepting new patients
Federal Way Vision Center Optometrist Past Accepting new patients

Locations

4050 S Timberline Rd
Fort Collins, CO 80525

4050 S Timberline Rd
Unit 120
Fort Collins, CO 80525
Phone (970) 282-8888

114 14th St SW
Loveland, CO 80537
Phone (970) 587-3937

Organizations & group practices 3

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": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1649450529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 14TH ST SW",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805376341",
            "telephone_number": "970-587-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 14TH ST SW",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805376341",
            "telephone_number": "970-587-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4050 S Timberline Rd Unit 120",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805256023",
            "country_code": "US",
            "telephone_number": "970-282-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARR",
        "first_name": "AMMAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60274075",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000182555",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.