Chelsey Breanne Nolasco, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2874 Issued in CO

Practice address

6110 Martinez St
Fort Carson, CO 80913-2048

Phone

(719) 368-2446

Fax

(719) 576-9332

NPI assigned

Apr 9, 2009

Last updated

Nov 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Southern California College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evergreen Optometry, PLLCGroup PAC ID 1759773880, 2 clinicians

Bluebell Vision PLLCGroup PAC ID 0244747897, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluebell Vision PLLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1881489656
  Medicare reassignment Care Compare group NPD Authorized official
• Evergreen Optometry, PLLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1801561634
  Medicare reassignment Care Compare group NPD Authorized official
• Peak View Optometry Fort Carson, LLC

  • Optometrist
  • Fort Carson, CO
  • NPI 1194327148
  Medicare reassignment NPD Authorized official
• Peak View Optometry Peterson, PLLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1568064541
  Medicare reassignment NPD Authorized official
• Peak View Optometry North, PLLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1720680770
  NPD Authorized official
• Peak View Optometry South, PLLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1558963504
  NPD Authorized official
• Peak View Optometry, PLLC

  • Optometrist
  • Fort Carson, CO
  • NPI 1023523511
  Authorized official Same address or phone
• Peak View Optometry Peterson SFB Clinic PLLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1144173196
  NPD (past)

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1710120415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 MARTINEZ ST",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809132048",
            "telephone_number": "719-368-2446",
            "fax_number": "719-576-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 MARTINEZ ST",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809132048",
            "telephone_number": "719-368-2446",
            "fax_number": "719-576-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLASCO",
        "first_name": "CHELSEY",
        "middle_name": "BREANNE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15180",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice Phuong Nguyen, D.O.
• Claudia Espinosa Nicholas, MD
• Anthony Mark Nicholson
• Matthew Nilan, D.O.
• Randy L Nitcher, D.O.
• Joanne Alice Nolen, PA-C
• Elizabeth Lynn North, RD
• Kelly Anne Norton, PA-C
• Andrea Marie Norvell
• Sarah Anne Nowroozian, RDN, RD

• Optometrist in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.