Individual provider Active NPI

Alexis Elizabeth Anderson

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1922853811
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00004017 Issued in CO
Practice address
1725 E Prospect Rd
Fort Collins, CO 80525-1307
Phone
(970) 221-2222
NPI assigned
Apr 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 00004017 CO Primary

Addresses

Primary practice location

1725 E Prospect Rd
Fort Collins, CO 80525-1307

Mailing address

8012 Park Hill Dr
Fort Collins, CO 80528-8967
Phone (970) 573-8152

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
I20240701003982 CO Practitioner - Optometry 0941744924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Northern Colorado PCGroup PAC ID 5496644841, 67 clinicians

Practice addresses (Care Compare)

1725 E Prospect Rd
Fort Collins, CO 80525-1307
Phone (970) 221-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00004017COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of Northern Colorado, P.C. CurrentSince Jun 1, 2024 Accepting new patients

Locations

2121 E Harmony Rd
Fort Collins, CO 80528
Phone (970) 237-7700

1725 E Prospect Rd
Fort Collins, CO 80525
Phone (970) 221-2222

3151 Precision Dr
Fort Collins, CO 80528
Phone (970) 221-2222

2121 E Harmony Rd
Unit 190
Fort Collins, CO 80528
Phone (970) 221-2222

1701 61st Ave
Greeley, CO 80634
Phone (970) 221-2222

2555 E 13th St
Ste 225
Loveland, CO 80537
Phone (970) 221-2222

6125 Sky Pond Dr
Ste 160
Loveland, CO 80538
Phone (970) 221-2222

Interoperability endpoints

  • Direct secure messaging: alexis.anderson.p1@direct.eyecenternoco.nextgenshare.com

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": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1922853811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 PARK HILL DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288967",
            "telephone_number": "970-573-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251307",
            "telephone_number": "970-221-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALEXIS",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "00004017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.