EVERGREEN OPTOMETRY, PLLC
NPI 1801561634
Optometrist in Colorado Springs, CO
About Evergreen Optometry, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN OPTOMETRY, PLLC (NPI 1801561634) is a healthcare organization registered as an optometrist in Colorado Springs, Colorado and active in the NPI registry since August 2021. The organization lists Chelsey Breanne Nolasco, Owner/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Evergreen Optometry, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Evergreen Optometry, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Evergreen Optometry, PLLC's NPI number?
The NPI number for Evergreen Optometry, PLLC is 1801561634. It was assigned to this organization in the NPPES registry on August 13, 2021.
Where is Evergreen Optometry, PLLC located?
Evergreen Optometry, PLLC is located at 15 Spectrum Loop Suite 125, Colorado Springs, CO 80921. The listed phone number is (719) 661-0287.
What is Evergreen Optometry, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Evergreen Optometry, PLLC enrolled in Medicare?
Yes. Evergreen Optometry, PLLC is registered in the Medicare PECOS enrollment system.
When is Evergreen Optometry, PLLC'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 March 31, 2027. 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 Evergreen Optometry, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Evergreen Optometry, PLLC. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Evergreen Optometry, PLLC 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 Evergreen Optometry, PLLC 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 Evergreen Optometry, PLLC was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Evergreen Optometry, Pllc · NPI 1801561634
Optometrist organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since August 13, 2021.
## Identity
- **NPI:** 1801561634 (Entity type: Organization)
- **Enumerated:** August 13, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Chelsey Nolasco, OWNER/CEO
## Practice location
- **Address:** 15 SPECTRUM LOOP, SUITE 125, Colorado Springs, CO 80921
- **Phone:** (719) 661-0287
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1801561634) · Data from the CMS NPPES public registry.