Active NPI
Jeffrey Craig Marlatt, OD
- Optometrist
- Lonetree, CO
National Provider Identifier
1902807332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2038
- Practice address
- 9400 Station St
Suite 150
Lonetree, CO 80124-6808 - Phone
- (303) 925-0075
- Fax
- (303) 925-0079
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2038 | CO | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 2038 | CO |
Addresses
Primary practice location
9400 Station St
Suite 150
Lonetree, CO 80124-6808
Mailing address
9400 Station St
Suite 150
Lonetree, CO 80124-6808
Phone (303) 925-0075
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050112000379 | CO | Practitioner - Optometry | 1557319472 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkridge Vision Specialists PC
Practice addresses (Care Compare)
9400 Station St
Suite 150
Lone Tree, CO 80124-6815
Phone (303) 925-0075
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2038 | CO | MD | Clinical Social Worker |
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": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1902807332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 STATION ST",
"address_2": "SUITE 150",
"city": "LONETREE",
"state": "CO",
"postal_code": "801246808",
"telephone_number": "303-925-0075",
"fax_number": "303-925-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 STATION ST",
"address_2": "SUITE 150",
"city": "LONETREE",
"state": "CO",
"postal_code": "801246808",
"telephone_number": "303-925-0075",
"fax_number": "303-925-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLATT",
"first_name": "JEFFREY",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2038",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CO",
"license": "2038",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lonetree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.