Active NPI
Summer Giana Lara, O.D.
- Pediatric Optometrist
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- 695
- Practice address
- 2810 N Telshor Blvd
Las Cruces, NM 88011-8230 - Phone
- (575) 523-2020
- NPI assigned
- Sep 9, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | 695 | NM | Primary |
Addresses
Primary practice location
2810 N Telshor Blvd
Las Cruces, NM 88011-8230
Mailing address
2810 N Telshor Blvd
Las Cruces, NM 88011
Phone (575) 523-2020
Other practice location 1
16525 Birkdale Commons Pkwy
Suite 100
Huntersville, NC 28078-3802
Phone (575) 639-2818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 695 | Other | NM | NEW MEXICO OPTOMETRY LICENSE |
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 of Houston - College of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2080 Main St
Longmont, CO 80501-1916
Phone (303) 772-2755
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2289 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Center of Northern Colorado, P.C | Current | Accepting new patients | |
| Eye Center of Northern Colorado, P.C | Current | Accepting new patients | |
| Optometric Associates PC | Pediatrics | Current | Accepting new patients |
| Eye Center of Northern Colorado, P.C | Past | Accepting new patients | |
| Brad Hearn OD PA | Past | Accepting new patients | |
| Brad Hearn OD PA | Past | Accepting new patients |
Locations
1810 30th St
Ste B
Boulder, CO 80301
Phone (303) 442-7473
4745 Arapahoe Ave
Ste 100
Boulder, CO 80303
Phone (303) 415-7000
2080 Main St
Longmont, CO 80501
Phone (303) 651-2020
Interoperability endpoints
- summer.lara.p1@direct.cepcolorado.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Ophthalmology Physician
- Boulder, CO
- NPI 1790806644
-
- Ophthalmology Physician
- Erie, CO
- NPI 1952002248
-
- Optometrist
- Hampstead, NC
- NPI 1013479229
-
- Optometrist
- Huntersville, NC
- NPI 1851566772
-
- Optometrist
- Boulder, CO
- NPI 1568170520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505865600000",
"number": "1902188501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 N TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88011",
"telephone_number": "575-523-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 N TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118230",
"telephone_number": "575-523-2020"
}
],
"practiceLocations": [
{
"address_1": "16525 Birkdale Commons Pkwy",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280783802",
"country_code": "US",
"telephone_number": "575-639-2818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARA",
"first_name": "SUMMER",
"middle_name": "GIANA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2017-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NM",
"license": "695",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO OPTOMETRY LICENSE",
"identifier": "695",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.