Individual provider Active NPI

Jamie Anderson, O.D.

  • Optometrist
  • Centennial, CO
National Provider Identifier
1790820306
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2499 Issued in CO
Practice address
20971 E Smoky Hill Rd Ste 101
Centennial, CO 80015-5187
Phone
(720) 870-2828
NPI assigned
Feb 21, 2007
Last updated
Aug 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2499 CO Primary

Addresses

Primary practice location

20971 E Smoky Hill Rd Ste 101
Centennial, CO 80015-5187

Mailing address

928 Riddlewood LN
Highlands Ranch, CO 80129-6988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NY, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060223000858 CO Practitioner - Optometry 0648286989 Reassigns benefits to 2 organizations
I20210107000503 NY Practitioner - Optometry 0648286989 Reassigns benefits to 1 organization
I20210219000066 MO Practitioner - Optometry 0648286989 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4448ORMDNaturopath
2499COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
International Eyecare Center Inc Optometrist CurrentSince Mar 1, 2025 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Dec 1, 2020 Accepting new patients
Paige Hedgpath Odpc Optometrist CurrentSince Mar 1, 2025 Accepting new patients
Visionworks, Inc CurrentSince Dec 1, 2020 Accepting new patients
Empire Vision Center, Inc CurrentSince Dec 1, 2020 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Dec 1, 2020 Accepting new patients
International Eyecare Center LLC Optometrist CurrentSince Mar 1, 2025 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Family First Vision Care Colorado LLC Optometrist CurrentSince Mar 25, 2025 Accepting new patients
Paige Hedgpath OD,PC Optometrist CurrentSince Mar 1, 2025 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Hellerstein & Brenner Vision Center P.C. Optometrist Past Accepting new patients

Locations

2795 Pearl St
Ste 100
Boulder, CO 80302
Phone (303) 444-1211

1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020

8441 S Yosemite St
Ste 2
Lone Tree, CO 80124
Phone (303) 768-8721

1650 W US Highway 50
Pueblo, CO 81008
Phone (719) 542-1222

1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331

138 S Main St
Gravois Mills, MO 65037
Phone (573) 280-2884

215 Progress Rd
Hannibal, MO 63401
Phone (573) 248-1616

8600 Ward Pkwy
Ste 710
Kansas City, MO 64114
Phone (816) 523-8882

1702 N Baltimore St
Kirksville, MO 63501
Phone (660) 665-5674

2825 S Glenstone Ave
Ste F11
Springfield, MO 65804
Phone (417) 882-3692

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

316 S Hamilton Rd
Gahanna, OH 43230

63455 N Highway 97
Ste 75
Bend, OR 97703
Phone (541) 388-7906

970 NW Eastman Pkwy
Gresham, OR 97030
Phone (503) 666-7460

1200 E Campbell Rd
Ste 108
Richardson, TX 75081
Phone (972) 370-5552

Organizations & group practices 12

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249862400000",
    "number": "1790820306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 RIDDLEWOOD LN",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20971 E SMOKY HILL RD STE 101",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155187",
            "telephone_number": "720-870-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAMIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.