Organization Active NPI

Belleview Eye Associates, Inc.

  • Optometrist
  • Littleton, CO
National Provider Identifier
1740233642
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2135 Issued in CO
Legal business name
BELLEVIEW EYE ASSOCIATES, INC.
Practice address
5104 S Field St
Ste. C
Littleton, CO 80123-7308
Phone
(303) 979-3937
Fax
(866) 881-3396
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Mrs. Leilani Michelle Phillips-Borstad, O.D.NPI 1578569331
Title
President
Phone
(303) 979-3937

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 2135 CO Primary

Addresses

Primary practice location

5104 S Field St
Ste. C
Littleton, CO 80123-7308

Mailing address

5104 S Field St
Ste. C
Littleton, CO 80123-7308
Phone (303) 979-3937

Other identifiers 1

IdentifierTypeStateIssuer
106943OtherCOBLOCK LOCATION ID NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060425000125 CO Part B Supplier - Clinic/Group Practice 3971513706 Receives reassigned benefits from 1 practitioner
Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Locations

5104 S Field St
Ste C
Littleton, CO 80123
Phone (303) 979-3937

Practitioners & affiliated clinicians

Practitioners 2

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1740233642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 S FIELD ST",
            "address_2": "STE. C",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801237308",
            "telephone_number": "303-979-3937",
            "fax_number": "866-881-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 S FIELD ST",
            "address_2": "STE. C",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801237308",
            "telephone_number": "303-979-3937",
            "fax_number": "866-881-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVIEW EYE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS-BORSTAD",
        "authorized_official_first_name": "LEILANI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-979-3937",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK LOCATION ID NUMBER",
            "identifier": "106943",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.