Organization Active NPI

5280 Vision Care, LLC

  • Optometrist
  • Lone Tree, CO
National Provider Identifier
1770051724
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
5280 VISION CARE, LLC
Practice address
7600 Park Meadows Dr Ste 200
Lone Tree, CO 80124-2561
Phone
(303) 754-0122
Fax
(303) 754-3176
NPI assigned
Nov 7, 2018
Last updated
Sep 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Dr. Trisha Rogers, ODNPI 1134213705
Title
Optometrist/Owner
Phone
(720) 292-0724

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

7600 Park Meadows Dr Ste 200
Lone Tree, CO 80124-2561

Mailing address

7600 Park Meadows Dr Ste 200
Lone Tree, CO 80124-2561
Phone (303) 754-0122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190128001595 CO Part B Supplier - Clinic/Group Practice 3173860244 Receives reassigned benefits from 2 practitioners
Practice locations: Lone Tree, CO

National Provider Directory

National Provider Directory

Locations

9220 Kimmer Dr
Ste 140
Lone Tree, CO 80124
Phone (303) 754-0122

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1770051724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 PARK MEADOWS DR STE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242561",
            "telephone_number": "303-754-0122",
            "fax_number": "303-754-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 PARK MEADOWS DR STE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242561",
            "telephone_number": "303-754-0122",
            "fax_number": "303-754-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5280 VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "720-292-0724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.