ALTITUDE OPTOMETRY, P.C.
NPI 1114154804
Clinic/Center - Health Service in Boulder, CO
About Altitude Optometry, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALTITUDE OPTOMETRY, P.C. (NPI 1114154804) is a healthcare organization registered as a health service in Boulder, Colorado and active in the NPI registry since June 2009. The organization lists Monica Mortenson, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Altitude Optometry, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Altitude Optometry, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Altitude Optometry, P.C.'s NPI number?
The NPI number for Altitude Optometry, P.C. is 1114154804. It was assigned to this organization in the NPPES registry on June 19, 2009.
Where is Altitude Optometry, P.C. located?
Altitude Optometry, P.C. is located at 1855 29th St # 1e-1156, Boulder, CO 80301. The listed phone number is (720) 565-0445.
What is Altitude Optometry, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Altitude Optometry, P.C. enrolled in Medicare?
Yes. Altitude Optometry, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Altitude Optometry, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Altitude Optometry, P.C.. 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Altitude Optometry, P.C. accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Altitude Optometry, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Altitude Optometry, P.C. was last updated on February 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.
# Altitude Optometry, P.c. · NPI 1114154804
Health Service organization in Boulder, Colorado. Organization record, active in the CMS NPPES registry since June 19, 2009.
## Identity
- **NPI:** 1114154804 (Entity type: Organization)
- **Enumerated:** June 19, 2009
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Monica Mortenson, OPTOMETRIST
## Practice location
- **Address:** 1855 29TH ST # 1E-1156, Boulder, CO 80301-1065
- **Phone:** (720) 565-0445 · **Fax:** (720) 565-0649
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2011
- **Other identifiers:** Medicare PIN COB4668
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Source: [NPI Profile](https://npiprofile.com/npi/1114154804) · Data from the CMS NPPES public registry.