Patrick Stifter, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0003801 Issued in CO

Practice address

550 Thornton Pkwy
Thornton, CO 80229-2100

Phone

(303) 920-3937

NPI assigned

Jun 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bright Eyes Vision Clinic PC a Colorado Professional CorporationGroup PAC ID 7113813106, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bright Eyes Vision Clinic PC a Colorado Professional Corporation

  • Optometrist
  • Canon City, CO
  • NPI 1679525208
  Medicare reassignment Care Compare group NPD
• Bright Eyes Vision Clinic PC a Colorado Professional Corporation

  • Optometrist
  • Thornton, CO
  • NPI 1568063881
  NPD

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1881324614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 MANHATTAN DR APT 110",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034055",
            "telephone_number": "816-808-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 THORNTON PKWY",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292100",
            "telephone_number": "303-920-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIFTER",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2022022079",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha C Stern, PA-C
• Amanda Stevens
• Karen Stevens, LCSW
• Chloe Stewart, LCSW
• Kiva Gosnell Stiff, PA-C
• Joan Louise Stockton, RDH
• Philip Stohlmann, LPC
• Gregory B Stoll, DDS, MS
• Joseph Laurence Stone, MA
• Jaylin Stotler

• Optometrist in Thornton, CO
• Providers in Thornton, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.

Verify at the official NPI Registry.