Individual provider Active NPI

Eric H Broecker, OD

  • Optometrist
  • Thornton, CO
National Provider Identifier
1801983598
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2385 Issued in CO
Practice address
Colorado Eye Center
10001 N Washington
Thornton, CO 80229
Phone
(303) 451-8075
Fax
(303) 457-9859
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2385 CO Primary

Addresses

Primary practice location

Colorado Eye Center
10001 N Washington
Thornton, CO 80229

Mailing address

Colorado Eye Center
10001 N Washington
Thornton, CO 80229
Phone (303) 451-8075

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
I20040224001134 CO Practitioner - Optometry 5496641730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Family Eyecare IncGroup PAC ID 3870640345, 2 clinicians

Practice addresses (Care Compare)

226 Lusher Court
Suite 203
Frisco, CO 80443-5390

226 Lusher CT
Suite 203
Frisco, CO 80443-5390
Phone (970) 262-9272

PO Box
Suite 5390
Frisco, CO 80443-5390

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2385COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Family Eyecare Inc Optometrist CurrentSince Jun 2, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eric.broecker.p5@direct.inlandeyespecialists.nextgenshare.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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1801983598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COLORADO EYE CENTER",
            "address_2": "10001 N WASHINGTON",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80229",
            "telephone_number": "303-451-8075",
            "fax_number": "303-457-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLORADO EYE CENTER",
            "address_2": "10001 N WASHINGTON",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80229",
            "telephone_number": "303-451-8075",
            "fax_number": "303-457-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROECKER",
        "first_name": "ERIC",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.