Individual provider Active NPI

Robert James Stanga, OD

  • Optometrist
  • Littleton, CO
National Provider Identifier
1689654881
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2824 Issued in CO
Practice address
11757 W Ken Caryl Ave
Ste L
Littleton, CO 80127-3719
Phone
(303) 904-4555
Fax
(303) 933-2981
NPI assigned
Jan 23, 2006
Last updated
May 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1377 AZ
Optometrist 152W00000X 2824 CO Primary

Addresses

Primary practice location

11757 W Ken Caryl Ave
Ste L
Littleton, CO 80127-3719

Mailing address

11757 W Ken Caryl Ave
Ste L
Littleton, CO 80127-3719
Phone (303) 904-4555

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
I20110615000625 CO Practitioner - Optometry 7618986605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians

Practice addresses (Care Compare)

11757 W Ken Caryl Ave
Unit L
Littleton, CO 80127-3719
Phone (303) 904-4555

412 Main St
Longmont, CO 80501-5535
Phone (303) 651-6700

8925 Ridgeline Blvd
Suite 107
Highlands Ranch, CO 80129-2502
Phone (303) 791-2727

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Robert J Stanga Optometrist PC Optometrist CurrentSince Feb 14, 2011 Accepting new patients

Locations

8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727

11757 W Ken Caryl Ave
Unit L
Littleton, CO 80127
Phone (303) 904-4555

412 Main St
Longmont, CO 80501
Phone (303) 651-6700

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1689654881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11757 W KEN CARYL AVE",
            "address_2": "STE L",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273719",
            "telephone_number": "303-904-4555",
            "fax_number": "303-933-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11757 W KEN CARYL AVE",
            "address_2": "STE L",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273719",
            "telephone_number": "303-904-4555",
            "fax_number": "303-933-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGA",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1377",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.