Tara Lynn Derose, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2489 Issued in CO

Practice address

7761 Shaffer Pkwy
Ste. 200
Littleton, CO 80127-3728

Phone

(303) 979-4505

Fax

(303) 933-0714

NPI assigned

Jul 14, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tara Lynn Peterson Former name

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Loomis, Yount, Peterson and Associates, PLLCGroup PAC ID 9739082124, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Loomis, Yount, Peterson & Associates, PLLC

  • Optometrist
  • Littleton, CO
  • NPI 1619960580
  Medicare reassignment Care Compare group NPD
• Dorothy M Parrott

  • Vision Therapy Optometrist
  • Lakewood, CO
  • NPI 1356520381
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1992703771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7761 SHAFFER PKWY",
            "address_2": "STE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273728",
            "telephone_number": "303-979-4505",
            "fax_number": "303-933-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7761 SHAFFER PKWY",
            "address_2": "STE. 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273728",
            "telephone_number": "303-979-4505",
            "fax_number": "303-933-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSE",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "PETERSON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Denver VA Medical Center
• Department of Justice
• Leanne Michelle Deremer
• Cathryn Elizabeth Derman, M.S.
• Kelsey Dernocoeur, DDS
• Darcia Desalvo
• Deshano Care Centers LLC
• John V Desiato, PT
• Helene G Desmarais, PA
• Samuel Fisk Destefano, MD

• Optometrist in Littleton, CO
• Providers in Littleton, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.