COLORADO RETINA ASSOCIATES, PC (NPI# 1942834841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942834841 |
| Entity Type | Organization |
| Organization Name | COLORADO RETINA ASSOCIATES, PC |
| Other Organization Name | COLORADO RETINA ASSOCIATES PC-LAFAYETTE |
| Practice Address |
1050 W South Boulder Rd Ste 2100 Lafayette CO 80026-2818 |
| Mailing Address |
8101 E Lowry Blvd Ste 210 Denver CO 80230-7195 |
| Practice Telephone | 3032611600 |
| Practice Fax Number | 3032611601 |
| Mailing Telephone | 3032611600 |
| Mailing Fax Number | 3032611601 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | TERRY LEA PARISH (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 7204203277 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO RETINA ASSOCIATES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians | ||
| N | 207WX0108X |
Ophthalmology Specialization: Uveitis and Ocular Inflammatory Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000176494 | 05 |
| Other Name | Type Code |
|---|---|
| Colorado Retina Associates PC-Lafayette | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572803 | Colorado Retina Associates, PC | Ophthalmology | 360 Peak One Dr, Ste 300, Frisco, CO 80443-9900 | 2020-03-05 |
| 1154955896 | Colorado Retina Associates, PC | Ophthalmology | 400 Indiana St Ste 310, Golden, CO 80401-5033 | 2020-03-02 |
| 1821622564 | Colorado Retina Associates, PC | Ophthalmology | 11960 Lioness Way Ste 290, Parker, CO 80134-5640 | 2020-03-02 |
| 1497389399 | Colorado Retina Associates, PC | Ophthalmology | 850 Englewood Pkwy Ste 200, Englewood, CO 80110-7399 | 2020-02-28 |
| 1275664393 | Colorado Retina Associates, PC | Specialist | 8101 E Lowry Blvd Ste 210, Denver, CO 80230-7195 | 2007-03-08 |
| 1790876159 | Colorado Retina Associates, PC | Ophthalmology | 8101 E Lowry Blvd Ste 210, Denver, CO 80230-7195 | 2006-09-28 |
| Street Address |
1050 W SOUTH BOULDER RD STE 2100 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760649024 | Robert Jackson Courtney | Ophthalmology | 1050 W South Boulder Rd Ste 2100, Lafayette, CO 80026-2818 | 2008-05-22 |
| 1508093485 | Ashleigh Laurin Levison | Ophthalmology | 1050 W South Boulder Rd Ste 2100, Lafayette, CO 80026-2818 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1922655422 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 216, Lafayette, CO 80026-2089 | 2019-08-20 |
| 1679120182 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 110c, Lafayette, CO 80026-2753 | 2019-08-20 |
| 1457907230 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 110b, Lafayette, CO 80026-2753 | 2019-08-16 |
| 1982141206 | Mei Lee Fleming Optometry | Clinic/Center | 3444 Mt Diablo Blvd, Lafayette, CA 94549-3912 | 2017-01-24 |
| 1508227604 | Acadiana Allergy, Asthma and Immunology Center, LLC | Clinic/Center | 300 Rue Beauregard Ste F, Lafayette, LA 70508 | 2016-03-16 |
| 1801142906 | Kristy R. Kennedy Md, LLC | Clinic/Center | 1101 S College Rd, Suite 202, Lafayette, LA 70503-3038 | 2012-07-26 |
| 1528331089 | Our Lady of Lourdes Regional | Clinic/Center | 227 Bendel Rd, Suite A, Lafayette, LA 70503-2922 | 2012-02-14 |
| 1215172523 | Colorado Back and Spine Center | Clinic/Center | 380 Empire Rd, Suite 101, Lafayette, CO 80026-2677 | 2008-12-16 |
| 1851581896 | Our Lady of Lourdes Regional Medical Center | Clinic/Center | 3220 Kaliste Saloom Rd, Lafayette, LA 70508-7422 | 2007-07-26 |
| 1548467640 | The Spine Worx LLC | Clinic/Center | 983 S Creasy Ln, Lafayette, IN 47905-4800 | 2007-07-02 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.