Organization Active NPI

Metrowest Eye Associates, P.C.

Doing business as Black Diamond Eye Care

  • Optometrist
  • Lakewood, CO
National Provider Identifier
1710548904
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
METROWEST EYE ASSOCIATES, P.C.
Doing business as
Black Diamond Eye Care
Practice address
8585 W 14TH Ave Ste C
Lakewood, CO 80215-4860
Phone
(303) 238-4357
NPI assigned
Jun 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Jason Troy Ortman, ODNPI 1578545828
Title
Optometrist/Owner
Phone
(303) 688-5066

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

8585 W 14TH Ave Ste C
Lakewood, CO 80215-4860

Mailing address

8585 W 14TH Ave Ste C
Lakewood, CO 80215-4860
Phone (303) 238-4357

Other names 1

  • Black Diamond Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000189 CO Part B Supplier - Clinic/Group Practice 9032144688 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Castle Pines, CO; Castle Rock, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

250 Max Dr
Ste 101
Castle Pines, CO 80108
Phone (303) 688-5066

3993 Limelight Ave
Unit F
Castle Rock, CO 80109
Phone (303) 688-3611

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1710548904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 W 14TH AVE STE C",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154860",
            "telephone_number": "303-238-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 W 14TH AVE STE C",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154860",
            "telephone_number": "303-238-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROWEST EYE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "ORTMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "303-688-5066",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Diamond Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.