EDGE OPTICS LLC
NPI 1033454806
Optometrist in Fort Collins, CO

Active since December 06, 2012
121 LAPORTE AVE, FORT COLLINS, CO 80524(970) 682-2627 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edge Optics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGE OPTICS LLC (NPI 1033454806) is a healthcare organization registered as an optometrist in Fort Collins, Colorado and active in the NPI registry since December 2012. The organization lists Mason Tamblyn Bryant, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1033454806
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEDGE OPTICS LLC
Location Address121 LAPORTE AVEFort Collins, CO 80524-4379
Mailing Address706 S College Ave, Suite 101Fort Collins, CO 80524-9817 · (970) 682-2627
Organization SubpartNo
Authorized OfficialMason Tamblyn BryantOptometrist · (970) 682-2627
Enumeration DateDecember 6, 2012
Last NPPES UpdateFebruary 14, 2025
NPPES CertifiedFebruary 11, 2025
✔ NPI 1033454806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CO · 2364
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
121 LAPORTE AVE, Fort Collins, CO 80524

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edge Optics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Edge Optics LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Optometry
NPI 1457455859
121 LAPORTE AVE
Fort Collins, CO 80524
(970) 682-2627
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1235622564
121 LA PORTE AVE
Fort Collins, CO 80524
(970) 682-2627
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1710611223
15121 E MISSISSIPPI AVE
Aurora, CO 80012
(303) 802-1022
✔ PECOS✔ Accepts Medicare63 mi
Optometry
NPI 1427627876
PO BOX 130
Dillingham, AK 99576
(907) 842-9362
✔ PECOS✔ Accepts Medicare2,615 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edge Optics LLC's NPI number?

The NPI number for Edge Optics LLC is 1033454806. It was assigned to this organization in the NPPES registry on December 6, 2012.

Where is Edge Optics LLC located?

Edge Optics LLC is located at 121 Laporte Ave, Fort Collins, CO 80524. The listed phone number is (970) 682-2627.

What is Edge Optics LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Edge Optics LLC enrolled in Medicare?

Yes. Edge Optics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edge Optics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Edge Optics LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Edge Optics LLC was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.