Organization Active NPI

Jeffrey W. Luther OD, LLC

  • Optometrist
  • Loveland, CO
National Provider Identifier
1982036083
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0002127 Issued in CO
Legal business name
JEFFREY W. LUTHER OD, LLC
Practice address
2020 Blue Mesa CT
Loveland, CO 80538-4188
Phone
(970) 663-4800
Fax
(970) 663-0295
NPI assigned
Jul 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Dr. Jeffrey W. Luther, O.D.NPI 1023121498
Title
Optometrist
Phone
(970) 663-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0002127 CO Primary

Addresses

Primary practice location

2020 Blue Mesa CT
Loveland, CO 80538-4188

Mailing address

2020 Blue Mesa CT
Loveland, CO 80538-4188
Phone (970) 663-4800

Other names 1

  • 20/20 Optical and Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130815000200 CO Part B Supplier - Clinic/Group Practice 2860634185 Receives reassigned benefits from 1 practitioner
Practice locations: Loveland, CO

National Provider Directory

National Provider Directory

Locations

2020 Blue Mesa Ct
Loveland, CO 80538
Phone (970) 663-4800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1982036083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BLUE MESA CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384188",
            "telephone_number": "970-663-4800",
            "fax_number": "970-663-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BLUE MESA CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384188",
            "telephone_number": "970-663-4800",
            "fax_number": "970-663-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY W. LUTHER OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "970-663-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0002127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20/20 Optical and Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.