Individual provider Active NPI

Ketty L Streifel, O.D.

  • Optometrist
  • Parker, CO
National Provider Identifier
1730133380
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1906 Issued in CO
Practice address
11960 Lioness Way
190
Parker, CO 80134-5640
Phone
(303) 794-1111
Fax
(303) 347-1341
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1906 CO Primary

Addresses

Primary practice location

11960 Lioness Way
190
Parker, CO 80134-5640

Mailing address

11960 Lioness Way
190
Parker, CO 80134-5640
Phone (303) 794-1111

Other identifiers 1

IdentifierTypeStateIssuer
760762560-006OtherCOROCKY MOUNTAIN HEALTH

Other names 1

  • Ketty C Lee Former name

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
I20070702000208 CO Practitioner - Optometry 0941309025 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flatirons Ophthalmology PLLCGroup PAC ID 7315343290, 4 clinicians

Practice addresses (Care Compare)

1332 Vivian St
Longmont, CO 80501-3217
Phone (303) 402-1000

Merit-based Incentive Payment System (MIPS)

Final score
93.79 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1906COMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Flatirons Ophthalmology CurrentSince May 27, 2021 Accepting new patients
Glaucoma Consultants of Colorado, PC CurrentSince Apr 22, 2012 Accepting new patients

Locations

1440 28th St
Ste 2
Boulder, CO 80303
Phone (303) 402-1000

5150 E Yale Cir
Ste 200
Denver, CO 80222
Phone 3037941111 ext. 7849

1332 Vivian St
Longmont, CO 80501
Phone (303) 402-1000

11961 Lioness Way
Parker, CO 80134
Phone (720) 880-7851

11960 Lioness Way
Ste 190
Parker, CO 80134
Phone (303) 649-3790

11963 Lioness Way
Parker, CO 80134

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1730133380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 LIONESS WAY",
            "address_2": "190",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345640",
            "telephone_number": "303-794-1111",
            "fax_number": "303-347-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 LIONESS WAY",
            "address_2": "190",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345640",
            "telephone_number": "303-794-1111",
            "fax_number": "303-347-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREIFEL",
        "first_name": "KETTY",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HEALTH",
            "identifier": "760762560-006",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KETTY",
            "last_name": "LEE",
            "middle_name": "C",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.