Individual provider Active NPI

Rheda Sue Gerlock, O.D.

  • Optometrist
  • Aurora, CO
National Provider Identifier
1851340889
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0001215 Issued in CO
Practice address
1550 S Potomac St
155
Aurora, CO 80012-5455
Phone
(303) 369-1020
Fax
(303) 369-1022
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1215 CO
Optometrist 152W00000X OPT.0001215 CO Primary

Addresses

Primary practice location

1550 S Potomac St
155
Aurora, CO 80012-5455

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20100105000775 CO Practitioner - Optometry 3577604032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Colorado PCGroup PAC ID 7113359415, 58 clinicians

Practice addresses (Care Compare)

1550 S Potomac St
Suite 155
Aurora, CO 80012-5444
Phone (303) 369-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0001215COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Oct 14, 2019 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Oct 14, 2019 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist Current Accepting new patients

Locations

18801 E Hampden Ave
Ste 176
Aurora, CO 80013
Phone (303) 690-6510

6750 S Cornerstar Way
Ste E
Aurora, CO 80016
Phone (303) 693-1853

1550 S Potomac St
Ste 155
Aurora, CO 80012
Phone (303) 369-1020

6881 S Yosemite St
Centennial, CO 80112
Phone (303) 393-8378

1050 17th St
Ste A110
Denver, CO 80265
Phone (303) 298-9410

2795 S Colorado Blvd
Denver, CO 80222
Phone (303) 782-0470

6460 E Yale Ave
Unit A20
Denver, CO 80222
Phone (720) 316-7739

15530 E Broncos Pkwy
Unit 200
Englewood, CO 80112
Phone (303) 766-2020

200 W County Line Rd
Ste 150
Highlands Ranch, CO 80129
Phone (303) 794-2433

10521 S Parker Rd
Parker, CO 80134
Phone (303) 841-8243

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1851340889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST",
            "address_2": "155",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125455",
            "telephone_number": "303-369-1020",
            "fax_number": "303-369-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLOCK",
        "first_name": "RHEDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1215",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0001215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.