Individual provider Active NPI

Paul Thomas Harris, O.D.

  • Optometrist
  • Louisville, CO
National Provider Identifier
1841603552
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003051 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 10, 2014
Sex
Male
Sole proprietor
Yes

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 OPT.0003051 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
88409554MedicaidCO

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
I20140904000475 CO Practitioner - Optometry 5799903720 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 surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Flatirons Optometric Group, PC Optometrist CurrentSince Jun 25, 2014 Accepting new patients

Locations

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 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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1841603552",
    "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": "PAUL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88409554",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.