Active NPI
Alaina Jacobsen, OD
- Optometrist
- Longmont, CO
National Provider Identifier
1801570288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.0004006
- Practice address
- 205 S Main St Ste D
Longmont, CO 80501-1714 - Phone
- (303) 772-3611
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.0004006 | CO | Primary |
Addresses
Primary practice location
205 S Main St Ste D
Longmont, CO 80501-1714
Mailing address
205 S Main St Ste D
Longmont, CO 80501-1714
Phone (303) 772-3611
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 S Main St
Suite D
Longmont, CO 80501-1714
Phone (303) 772-3611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.0004006 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Front Range Eye Physicians PC | Multi-Specialty | Current | Accepting new patients |
Locations
205 S Main St
Ste D
Longmont, CO 80501
Phone (303) 772-3611
Interoperability endpoints
- ajacobsenod@frontrangeeye.direct.eyemdemr.com
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": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1801570288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 S MAIN ST STE D",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805011714",
"telephone_number": "303-772-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S MAIN ST STE D",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805011714",
"telephone_number": "303-772-3611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSEN",
"first_name": "ALAINA",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0004006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.