Individual provider Active NPI

Summer Giana Lara, O.D.

  • Pediatric Optometrist
  • Las Cruces, NM
National Provider Identifier
1902188501
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
695 Issued in NM
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

Updated by the provider on Sep 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
695OtherNMNEW 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160315000563 CO Practitioner - Optometry 8325299647 Reassigns benefits to 2 organizations

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
Optometric Associates PCGroup PAC ID 0345131033, 6 clinicians

Practice addresses (Care Compare)

2080 Main St
Longmont, CO 80501-1916
Phone (303) 772-2755

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2289NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of Northern Colorado, P.C CurrentSince Jul 1, 2022 Accepting new patients
Eye Center of Northern Colorado, P.C CurrentSince Jul 1, 2022 Accepting new patients
Optometric Associates PC Pediatrics CurrentSince Dec 16, 2024 Accepting new patients
Eye Center of Northern Colorado, P.C PastSince Nov 13, 2022 Accepting new patients
Brad Hearn OD PA PastSince Jul 24, 2022 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

  • Direct secure messaging: summer.lara.p1@direct.cepcolorado.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.