Individual provider Active NPI

Laura Szuba

  • Optometrist
  • Aurora, CO
National Provider Identifier
1710611223
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003821 Issued in CO
Practice address
15121 E Mississippi Ave
Aurora, CO 80012-3746
Phone
(303) 802-1022
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003821 CO Primary

Addresses

Primary practice location

15121 E Mississippi Ave
Aurora, CO 80012-3746

Mailing address

8226 S Poplar Way # R304
Centennial, CO 80112-3193

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
I20250904002919 CO Practitioner - Optometry 9032611538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edge Optics LLCGroup PAC ID 0547415630, 3 clinicians

Practice addresses (Care Compare)

121 La Porte Ave
Fort Collins, CO 80524-4379
Phone (970) 682-2627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003821COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edge Optics LLC Optometrist CurrentSince Jul 16, 2025 Accepting new patients

Locations

121 La Porte Ave
Fort Collins, CO 80524
Phone (970) 682-2627

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1710611223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 S POPLAR WAY # R304",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15121 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123746",
            "telephone_number": "303-802-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZUBA",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.