Individual provider Active NPI

Sherrie Anthony Nunn, O.D.

  • Optometrist
  • Lafayette, CO
National Provider Identifier
1922007616
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1367 Issued in CO
Practice address
511 Crossing Dr
Suite 102
Lafayette, CO 80026-2628
Phone
(303) 665-2068
Fax
(303) 665-5473
NPI assigned
Jul 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1367 CO Primary

Addresses

Primary practice location

511 Crossing Dr
Suite 102
Lafayette, CO 80026-2628

Mailing address

511 Crossing Dr
Suite 202
Lafayette, CO 80026-2628
Phone (303) 665-2068

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
I20090107000203 CO Practitioner - Optometry 0345301644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

511 Crossing Dr
Suite 102
Lafayette, CO 80026-2629
Phone (303) 665-2068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1367COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensational Eyes Vision Clinic PastSince Jul 29, 1992 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sherriean@lafayetteeyeassociates.eyeclinicdirect.net

Organizations & group practices 2

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1922007616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 CROSSING DR",
            "address_2": "SUITE 202",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262628",
            "telephone_number": "303-665-2068",
            "fax_number": "303-665-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CROSSING DR",
            "address_2": "SUITE 102",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262628",
            "telephone_number": "303-665-2068",
            "fax_number": "303-665-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNN",
        "first_name": "SHERRIE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.