FORT LUPTON VISION CENTER PC
NPI 1558544833
Optometrist in Fort Lupton, CO

Q: What is Fort Lupton Vision Center PC's NPI number?

The NPI number for Fort Lupton Vision Center PC is 1558544833. It was assigned to this organization in the NPPES registry on December 10, 2007.

Q: What is Fort Lupton Vision Center PC's specialty?

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

Active since December 10, 2007

301 DENVER AVE, FORT LUPTON, CO 80621(303) 857-6550(303) 857-6596 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2023, Dec 21, 2022 (2 updates tracked since 2022).

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About Fort Lupton Vision Center Pc NPPES

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

FORT LUPTON VISION CENTER PC (NPI 1558544833) is a healthcare organization registered as an optometrist in Fort Lupton, Colorado and active in the NPI registry since December 2007. The organization lists David A Simonson, President, as its authorized official.

NPPES Registry Identity

NPI1558544833

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameFORT LUPTON VISION CENTER PC

Location Address301 DENVER AVEFort Lupton, CO 80621-1821

Mailing Address301 Denver AveFort Lupton, CO 80621-1821 · (303) 857-6550 · Fax (303) 857-6596

Phone(303) 857-6550

Fax(303) 857-6596

Organization SubpartNo

Authorized OfficialDavid A SimonsonPresident · (303) 857-6550

Enumeration DateDecember 10, 2007

Last NPPES UpdateMay 19, 20232 updates tracked since enumeration

NPPES CertifiedMay 19, 2023

✔ NPI 1558544833 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 · 2357

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.

301 DENVER AVE, Fort Lupton, CO 80621

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Other Identifiers 1

OtherDP2823CO · Railroad Medicare Group Ptan

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)

Fort Lupton Vision Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fort Lupton Vision Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Simonson, OD

Optometry

NPI 1356314744

301 DENVER AVE
Fort Lupton, CO 80621

(303) 857-6550

✔ PECOS✔ Accepts MedicareSame address

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 Fort Lupton Vision Center PC's NPI number?

The NPI number for Fort Lupton Vision Center PC is 1558544833. It was assigned to this organization in the NPPES registry on December 10, 2007.

Where is Fort Lupton Vision Center PC located?

Fort Lupton Vision Center PC is located at 301 Denver Ave, Fort Lupton, CO 80621. The listed phone number is (303) 857-6550.

What is Fort Lupton Vision Center PC's specialty?

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

Is Fort Lupton Vision Center PC enrolled in Medicare?

Yes. Fort Lupton Vision Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fort Lupton Vision Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Fort Lupton Vision Center PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fort Lupton Vision Center PC was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.