Individual provider Active NPI

Kristine Marie Meske, OD

  • Optometrist
  • Littleton, CO
National Provider Identifier
1962011320
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00003865 Issued in CO
Practice address
8089 S Lincoln St Ste 103
Littleton, CO 80122-2719
Phone
(303) 471-2015
Fax
(303) 271-2042
NPI assigned
Jul 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 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 00003865 CO Primary

Addresses

Primary practice location

8089 S Lincoln St Ste 103
Littleton, CO 80122-2719

Mailing address

9529 Troon Village Dr
Lone Tree, CO 80124-3148
Phone (602) 510-3983

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
I20240731001785 CO Practitioner - Optometry 2163849704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vail Vision PCGroup PAC ID 6204995855, 3 clinicians

Practice addresses (Care Compare)

1140 Edwards Village Blvd
Unit B206
Edwards, CO 81632-5562
Phone (970) 926-8474

2535 S Lewis Way
Suite 209
Lakewood, CO 80227-6561
Phone (303) 937-8655

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00003865COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
3-D Vision PC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Lakewood Vision, PLLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Vail Vision PC Optometrist CurrentSince May 11, 2025 Accepting new patients

Locations

2535 S Lewis Way
Ste 209
Lakewood, CO 80227
Phone (303) 937-8655

8089 S Lincoln St
Ste 103
Littleton, CO 80122
Phone (303) 471-2015

Organizations & group practices 3

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": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1962011320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9529 TROON VILLAGE DR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243148",
            "telephone_number": "602-510-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8089 S LINCOLN ST STE 103",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222719",
            "telephone_number": "303-471-2015",
            "fax_number": "303-271-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESKE",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "00003865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.