Ty Clase, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003140 Issued in CO

Practice address

230 S Holland St
Lakewood, CO 80226-2837

Phone

(303) 431-8887

Fax

(303) 431-8992

NPI assigned

Sep 18, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• TCC Optometry Inc

  • Optometrist
  • Lakewood, CO
  • NPI 1205390101
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1699144790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S HOLLAND ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262837",
            "telephone_number": "303-431-8887",
            "fax_number": "303-431-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S HOLLAND ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262837",
            "telephone_number": "303-431-8887",
            "fax_number": "303-431-8992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6280 W 38th Ave",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800335056",
            "country_code": "US",
            "telephone_number": "303-431-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLASE",
        "first_name": "TY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-18",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Clark, LPC
• Madison Clark
• Tyler M. Clark, PA-C
• Rohan Courtney Clarke, M.D.
• Yesinia Clary-Washington
• Taylor Amy Claydon, DPT
• Clear Peak Fertility & Wellness
• Clearly Chiropractic Professional LLC
• Natalie Mary Cleary
• Michelle Lynn Clemenson, RN

• Optometrist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.