Organization Active NPI

Elevated Eyecare, P.C.

Doing business as Elevated Eyecare

  • Optometrist
  • Denver, CO
National Provider Identifier
1700275047
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2846 Issued in CO
Legal business name
ELEVATED EYECARE, P.C.
Doing business as
Elevated Eyecare
Practice address
4660 Yosemite St Ste 150
Denver, CO 80238-4482
Phone
(303) 284-9889
Fax
(303) 284-9914
NPI assigned
Jan 9, 2015
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Dr. Kyle Gilbert, O.D.NPI 1538457544
Title
President
Phone
(630) 730-6683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2846 CO Primary

Addresses

Primary practice location

4660 Yosemite St Ste 150
Denver, CO 80238-4482

Mailing address

4660 Yosemite St Ste 150
Denver, CO 80238-4482
Phone (303) 284-9889

Other identifiers 1

IdentifierTypeStateIssuer
2846OtherCOSTATE LICENSE

Other names 1

  • Elevated Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150623001421 CO Part B Supplier - Clinic/Group Practice 5294046827 Receives reassigned benefits from 3 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

4660 Yosemite St
Ste 150
Denver, CO 80238
Phone (303) 284-9889

7305 E 29th Ave
Denver, CO 80238
Phone (303) 284-9889

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1700275047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 YOSEMITE ST STE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802384482",
            "telephone_number": "303-284-9889",
            "fax_number": "303-284-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 YOSEMITE ST STE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802384482",
            "telephone_number": "303-284-9889",
            "fax_number": "303-284-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-730-6683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2846",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevated Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elevated Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.