FOOTHILLS VISION CENTER
NPI 1790996379
Optometrist in Lakewood, CO

Active since May 24, 2007
12810 W ALAMEDA PKWY, SUITE B, LAKEWOOD, CO 80228(303) 986-5565(303) 984-2111 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Foothills Vision Center NPPES

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

FOOTHILLS VISION CENTER (NPI 1790996379) is a healthcare organization registered as an optometrist in Lakewood, Colorado and active in the NPI registry since May 2007. The organization lists Kevin J Krajewski, President, as its authorized official.

NPPES Registry Identity

NPI1790996379
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameFOOTHILLS VISION CENTER, PC
Location Address12810 W ALAMEDA PKWY, SUITE BLakewood, CO 80228-3116
Mailing Address12810 W Alameda Pkwy, Suite BLakewood, CO 80228-3116 · (303) 986-5565 · Fax (303) 984-2111
Fax(303) 984-2111
Organization SubpartNo
Authorized OfficialKevin J KrajewskiPresident · (303) 986-5565
Enumeration DateMay 24, 2007
Last NPPES UpdateDecember 10, 2015
✔ NPI 1790996379 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 · 2107
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.
12810 W ALAMEDA PKWY, Lakewood, CO 80228

Other Names 1

Doing Business AsFoothills Vision Center

Other Identifiers 2

Medicare PINC490838CO
Medicare NSC0608410001CO

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20040406000456Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Foothills Vision Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1114948247
12810 W ALAMEDA PKWY SUITE B
Lakewood, CO 80228
(303) 986-5565
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1093750424
4875 WARD ROAD SUITE 600
Wheat Ridge, CO 80033
(303) 456-9456
✔ PECOS✔ Accepts Medicare5.8 mi
Optometry
NPI 1154686301
4804 N CHAMBERS RD
Denver, CO 80239
(303) 576-6655
✔ PECOS✔ Accepts Medicare18 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 Foothills Vision Center, PC's NPI number?

The NPI number for Foothills Vision Center, PC is 1790996379. It was assigned to this organization in the NPPES registry on May 24, 2007. The provider is doing business as Foothills Vision Center.

Where is Foothills Vision Center, PC located?

Foothills Vision Center, PC is located at 12810 W Alameda Pkwy Suite B, Lakewood, CO 80228. The listed phone number is (303) 986-5565.

What is Foothills Vision Center, PC's specialty?

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

Is Foothills Vision Center, PC enrolled in Medicare?

Yes. Foothills Vision Center, PC is registered in the Medicare PECOS enrollment system.

When is Foothills Vision Center, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Foothills Vision Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Foothills 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Foothills Vision Center, PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Foothills Vision Center, PC 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 Foothills Vision Center, PC was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.