Individual provider Active NPI

Mark A Slosar, OPTOMETRIST

  • Optometrist
  • Denver, CO
National Provider Identifier
1750468062
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2837 Issued in CO
Practice address
720 S Colorado Blvd Ste 140a
Denver, CO 80246-1916
Phone
(303) 607-0174
NPI assigned
Nov 1, 2006
Last updated
May 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6809T CA
Optometrist 152W00000X 7351T TX
Optometrist 152W00000X 2837 CO Primary

Addresses

Primary practice location

720 S Colorado Blvd Ste 140a
Denver, CO 80246-1916

Mailing address

10608 Clarkeville Way
Parker, CO 80134-9146
Phone (949) 310-9926

Other practice location 1

7440 W Alaska Dr
Lakewood, CO 80226-3326
Phone (303) 922-0288

Other practice location 2

10608 Clarkeville Way
Parker, CO 80134-9146
Phone (949) 310-9926

Other identifiers 1

IdentifierTypeStateIssuer
1063727790OtherORGANIZATIONAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6809TCAMDOptometrist
2837COMDOptometrist
7351TTXMDOptometrist
7531TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis Leung, O.D. PLLC Optometrist Past Accepting new patients
Dr. George Goodman, Inc. Optometrist PastSince May 28, 2019 Accepting new patients
Mark a. Slosar O.D. PLLC Optometrist PastSince Aug 31, 2010 Accepting new patients
Lasikplus of Colorado, PC Past Accepting new patients

Organizations & group practices 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1750468062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10608 CLARKEVILLE WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349146",
            "telephone_number": "949-310-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S COLORADO BLVD STE 140A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461916",
            "telephone_number": "303-607-0174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7440 W Alaska Dr",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802263326",
            "country_code": "US",
            "telephone_number": "303-922-0288",
            "fax_number": "303-922-1271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10608 Clarkeville Way",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801349146",
            "country_code": "US",
            "telephone_number": "949-310-9926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOSAR",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6809T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7351T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1063727790",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.