Individual provider Active NPI

Alisha Harris, O.D.

  • Optometrist
  • Louisville, CO
National Provider Identifier
1821401951
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPP0003047 Issued in CO
Practice address
1371 Hecla Dr Ste C1
Louisville, CO 80027-2318
Phone
(303) 957-3072
Fax
(303) 957-3073
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPP0003047 CO Primary

Addresses

Primary practice location

1371 Hecla Dr Ste C1
Louisville, CO 80027-2318

Mailing address

1371 Hecla Dr Ste C1
Louisville, CO 80027-2318
Phone (303) 957-3072

Other identifiers 1

IdentifierTypeStateIssuer
71438572MedicaidCO

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
I20140902000348 CO Practitioner - Optometry 3173741386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flatirons Optometric Group PCGroup PAC ID 2860594413, 3 clinicians

Practice addresses (Care Compare)

1371 Hecla Dr
Suite C1
Louisville, CO 80027-2318
Phone (303) 957-3072

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPP0003047COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Flatirons Optometric Group, PC Optometrist CurrentSince Jul 1, 2014 Accepting new patients
Era Optical 2000, Inc. Past Accepting new patients

Locations

1285 E 1st Ave
Unit D
Broomfield, CO 80020
Phone (303) 464-7627

1371 Hecla Dr
Ste C1
Louisville, CO 80027
Phone (303) 957-3072

10669 Melody Dr
Northglenn, CO 80234
Phone (303) 452-9312

Organizations & group practices 2

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1821401951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 HECLA DR STE C1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272318",
            "telephone_number": "303-957-3072",
            "fax_number": "303-957-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 HECLA DR STE C1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272318",
            "telephone_number": "303-957-3072",
            "fax_number": "303-957-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ALISHA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPP0003047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71438572",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.