Individual provider Active NPI

Alexandria A Starr, OD

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1649767492
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003432 Issued in CO
Practice address
883 N Academy Blvd
Colorado Springs, CO 80909-8307
Phone
(719) 442-0071
Fax
(719) 473-5303
NPI assigned
Apr 17, 2018
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002690 VA
Optometrist 152W00000X OPT003117 GA
Optometrist 152W00000X OPT.0003432 CO Primary

Addresses

Primary practice location

883 N Academy Blvd
Colorado Springs, CO 80909-8307

Mailing address

2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Phone (719) 576-1850

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
I20240701003098 CO Practitioner - Optometry 4082158043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockrimmon Vision ClinicGroup PAC ID 6204828411, 3 clinicians

Practice addresses (Care Compare)

6005 Delmonico Dr
Suite 140
Colorado Springs, CO 80919-2264
Phone (719) 522-9393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003117GAMDOptometrist
0618002690VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yah Vision Optometrist CurrentSince Apr 25, 2024 Accepting new patients
Yah Vision Optometrist Current Accepting new patients
Yah Vision LLC Optometrist CurrentSince Apr 25, 2024 Accepting new patients
Rockrimmon Vision Clinic Optometrist CurrentSince Feb 11, 2026 Accepting new patients
Park West Vision, LLC Optometrist Past Accepting new patients

Locations

6005 Delmonico Dr
Ste 140
Colorado Springs, CO 80919
Phone (719) 522-9393

2568 Taylor Ln
Pueblo, CO 81005
Phone (719) 733-3060

1021 N Market Plz
Ste 110
Pueblo West, CO 81007
Phone (719) 257-3959

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, 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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1649767492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850",
            "fax_number": "719-955-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098307",
            "telephone_number": "719-442-0071",
            "fax_number": "719-473-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "ALEXANDRIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002690",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003117",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.