Boulder Eye Surgeons
NPI 1629795851ActiveOrganization· Ophthalmology· Boulder, CO
Ophthalmology in Boulder, Colorado, registered in NPPES in October 2022, part of Boulder Eye Surgeons. The authorized official on file is Nikisha Gray, Credentialing.
Overview
| NPI | 1629795851 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Boulder Eye Surgeons |
| NPI issued | Oct 27, 2022 |
| Last updated in NPPES | Oct 27, 2022 |
| Certified by provider | Oct 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
| Optometrist | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Ophthalmology providers in Boulder
- 1831734656
- 1790806644
- 1124801485
- 1942523543
- 1598044463
- 1467497545
- 1255114500
- 1366800856
- 1144509928
- 1265418438
- 1275570038
- 1962546671