CARBON VALLEY EYE CARE
NPI 1235558065
Optometrist in Frederick, CO
About Carbon Valley Eye Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARBON VALLEY EYE CARE (NPI 1235558065) is a healthcare organization registered as an optometrist in Frederick, Colorado and active in the NPI registry since April 2014. The organization lists Michael Koditek, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carbon Valley Eye Care 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 Carbon Valley Eye Care, which bills Medicare for the services they deliver. Of these, 3 practice at this address. 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 Carbon Valley Eye Care's NPI number?
The NPI number for Carbon Valley Eye Care is 1235558065. It was assigned to this organization in the NPPES registry on April 9, 2014.
Where is Carbon Valley Eye Care located?
Carbon Valley Eye Care is located at 5900 Keyes St Ste 101, Frederick, CO 80504. The listed phone number is (303) 833-1056.
What is Carbon Valley Eye Care's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Carbon Valley Eye Care enrolled in Medicare?
Yes. Carbon Valley Eye Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carbon Valley Eye Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Carbon Valley Eye Care. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Carbon Valley Eye Care was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Carbon Valley Eye Care · NPI 1235558065
Optometrist organization in Frederick, Colorado. Organization record, active in the CMS NPPES registry since April 9, 2014.
## Identity
- **NPI:** 1235558065 (Entity type: Organization)
- **Enumerated:** April 9, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Michael Koditek, PRESIDENT
## Practice location
- **Address:** 5900 KEYES ST STE 101, Frederick, CO 80504-5956
- **Phone:** (303) 833-1056 · **Fax:** (303) 833-1057
## 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 · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1235558065) · Data from the CMS NPPES public registry.