Individual provider Active NPI

Alexandria Renee Wiss, OD

  • Optometrist
  • Greenwood Village, CO
National Provider Identifier
1780178657
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003387 Issued in CO
Practice address
7400 E Orchard Rd Ste 175-S
Greenwood Village, CO 80111-2631
Phone
(303) 850-9499
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003387 CO Primary

Addresses

Primary practice location

7400 E Orchard Rd Ste 175-S
Greenwood Village, CO 80111-2631

Mailing address

40W770 Stonecrest Dr
Elgin, IL 60124-8171
Phone (630) 624-5239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814002094 CO Practitioner - Optometry 4880943521 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003387COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hellerstein & Brenner Vision Center P.C. Optometrist CurrentSince Jul 24, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1780178657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W770 STONECREST DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601248171",
            "telephone_number": "630-624-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E ORCHARD RD STE 175-S",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112631",
            "telephone_number": "303-850-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISS",
        "first_name": "ALEXANDRIA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.