Active NPI
Marcia Schulte Stauter, O.D.
- Optometrist
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1282
- Practice address
- 3545 W 12TH St
Ste. 101
Greeley, CO 80634-2545 - Phone
- (970) 352-4200
- Fax
- (970) 352-4278
- NPI assigned
- Oct 13, 2006
- Last updated
- Apr 16, 2008
- 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 | 1282 | CO | Primary |
Addresses
Primary practice location
3545 W 12TH St
Ste. 101
Greeley, CO 80634-2545
Mailing address
3545 W 12TH St
Ste. 101
Greeley, CO 80634-2545
Phone (970) 352-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08012825 | Medicaid | CO |
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
- University Alabama Birmingham - School of Optometry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3545 W 12TH St
Suite 101
Greeley, CO 80634-2545
Phone (970) 352-4200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
Locations
3545 W 12th St
Ste 101
Greeley, CO 80634
Phone (970) 352-4200
8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727
412 Main St
Longmont, CO 80501
Phone (303) 651-6700
Organizations & group practices 3
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": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1821188749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 W 12TH ST",
"address_2": "STE. 101",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342545",
"telephone_number": "970-352-4200",
"fax_number": "970-352-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 W 12TH ST",
"address_2": "STE. 101",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342545",
"telephone_number": "970-352-4200",
"fax_number": "970-352-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUTER",
"first_name": "MARCIA",
"middle_name": "SCHULTE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "1282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08012825",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.