Individual provider Active NPI

Kaylie M Dau, O.D.

  • Optometrist
  • Commerce City, CO
National Provider Identifier
1649519331
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002740 Issued in GA
Practice address
6255 Quebec Pkwy Ste 1100
Commerce City, CO 80022-4812
Phone
(303) 655-4960
NPI assigned
Jan 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002740 GA Primary

Addresses

Primary practice location

6255 Quebec Pkwy Ste 1100
Commerce City, CO 80022-4812

Mailing address

6255 Quebec Pkwy Ste 1100
Commerce City, CO 80022-4812
Phone (303) 655-4960

Other practice location 1

7111 W Alameda Ave Unit L
Lakewood, CO 80226-3300
Phone (303) 934-0268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002740GAMDOptometrist
3112COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Belmar LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Bright Eyes Vision Clinic PC a Colorado Professional Corporation Optometrist CurrentSince Nov 8, 2020 Accepting new patients
A & E Vision, Inc. Past Accepting new patients
Wal-Mart Stores East, LP Past Accepting new patients
Wirebird Vision, LCC Optometrist Past Accepting new patients

Locations

326 Dozier Ave
Canon City, CO 81212
Phone (719) 276-0344

6255 Quebec Pkwy
Ste 100
Commerce City, CO 80022

6255 Quebec Pkwy
Ste 1100
Commerce City, CO 80022
Phone (303) 286-4980

2020 Wadsworth Blvd
Ste 11
Lakewood, CO 80214
Phone (303) 431-1221

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": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1649519331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 QUEBEC PKWY STE 1100",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800224812",
            "telephone_number": "303-655-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 QUEBEC PKWY STE 1100",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800224812",
            "telephone_number": "303-655-4960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7111 W Alameda Ave Unit L",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802263300",
            "country_code": "US",
            "telephone_number": "303-934-0268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAU",
        "first_name": "KAYLIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.