Individual provider Active NPI

Holly Anderson, O.D.

  • Optometrist
  • Wheat Ridge, CO
National Provider Identifier
1942640859
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0002991 Issued in CO
Practice address
4875 Ward Rd
Suite 600
Wheat Ridge, CO 80033-1942
Phone
(303) 456-9456
Fax
(303) 463-7560
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0002991 CO Primary

Addresses

Primary practice location

4875 Ward Rd
Suite 600
Wheat Ridge, CO 80033-1942

Mailing address

4875 Ward Rd
Suite 600
Wheat Ridge, CO 80033-1942
Phone (303) 456-9456

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
I20161019001161 CO Practitioner - Optometry 9234427568 Practice locations: Westminster, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0002991COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Anderson Optometry Optometrist Current Accepting new patients
Bright Future Vision Care Optometrist Current Accepting new patients

Locations

14676 Delaware St
Unit 400
Westminster, CO 80023
Phone (720) 405-2020

Interoperability endpoints

  • Direct secure messaging: holly.anderson.p1@direct.cepcolorado.nextgenshare.com

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1942640859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 WARD RD",
            "address_2": "SUITE 600",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331942",
            "telephone_number": "303-456-9456",
            "fax_number": "303-463-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 WARD RD",
            "address_2": "SUITE 600",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331942",
            "telephone_number": "303-456-9456",
            "fax_number": "303-463-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "HOLLY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0002991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.