Optometric Associates PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTOMETRIC ASSOCIATES PC

Practice address

2080 N Main St
Longmont, CO 80501-1916

Phone

(303) 651-2020

Fax

(303) 776-2460

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Rachel A Potter, ODNPI 1730387374

Title

Owner/Optometrist

Phone

(303) 651-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EAGLE VISION & EYE CLINIC PC Doing business as

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 12

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

• Rachel Amelia Potter, O.D.

  • Optometrist
  • Longmont, CO
  • NPI 1730387374
  Medicare reassignment Care Compare group NPD Authorized official
• Justin Daniel Deal, O.D.

  • Optometrist
  • Longmont, CO
  • NPI 1134400054
  Medicare reassignment Care Compare group NPD
• Kelsey Elrod, OD

  • Optometrist
  • Fort Collins, CO
  • NPI 1386098275
  Medicare reassignment Care Compare group NPD
• Gina Marangoni Gabriel, OD MS

  • Optometrist
  • Longmont, CO
  • NPI 1902889637
  Medicare reassignment Care Compare group NPD
• Jaclyn May Wray, O.D.

  • Optometrist
  • Longmont, CO
  • NPI 1194089060
  Medicare reassignment Care Compare group NPD
• Summer Giana Lara, O.D.

  • Pediatric Optometrist
  • Las Cruces, NM
  • NPI 1902188501

  CO, Pediatrics

  Medicare reassignment Care Compare group NPD
• Kristin Frances Park, OD

  • Optometrist
  • Longmont, CO
  • NPI 1164046629
  Medicare reassignment NPD
• Brian Nichols, M.D. PH.D.

  • Ophthalmology Physician
  • Boulder, CO
  • NPI 1699727172
  NPD (past)
• Lowell Thomas Schaefer, O.D.

  • Optometrist
  • Longmont, CO
  • NPI 1437268430
  NPD (past)
• Benjamin David Smith, O.D.

  • Optometrist
  • Denver, CO
  • NPI 1497909550
  NPD (past)
• Lowell C Steinberg, O.D.

  • Optometrist
  • Boulder, CO
  • NPI 1164566543
  NPD (past)
• Susan Marie Moon, O.D.

  • Optometrist
  • Tawas City, MI
  • NPI 1497912174
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1730299116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 N MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011916",
            "telephone_number": "303-651-2020",
            "fax_number": "303-776-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 N MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011916",
            "telephone_number": "303-651-2020",
            "fax_number": "303-776-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "303-651-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04008959",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAGLE VISION & EYE CLINIC PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy J Olin, M,A, CCC-SLP
• Alyssa M Olivieri, MOT, OTR/L
• Danielle Olson
• Jennifer A Olson
• Katherine K Olson, PA
• Optumcare Colorado Medical Group LLC
• Yaira Oquendo-Figueroa, PHD
• Oral and Maxillofacial Surgery of Longmont LLC
• Anibal Orecchio, LMT
• Patrica A Oreilly, LSW

• Optometrist in Longmont, CO
• Providers in Longmont, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.