Optometric Associates PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTOMETRIC ASSOCIATES PC

Doing business as

Eagle Vision & Eye Clinic PC

Practice address

2080 N Main St
Longmont, CO 80501-1916

Phone

(303) 651-2020

Fax

(303) 776-2460

NPI assigned

Aug 30, 2006

Last updated

Nov 19, 2024By the provider in NPPES

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 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, and the practitioner matching its NPPES authorized official.

• 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": [],
    "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 (Colorado Center for Arthritis and Osteoporosis)
• 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.