OrganizationActive
Boulder Eye Surgeons
NPI 1629795851 · Ophthalmology Physician · Boulder, CO
Provider details
- NPI number
- 1629795851
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Boulder Eye Surgeons
- Organization subpart
- Yes
- Authorized official
- Nikisha Gray, Credentialing(307) 773-7144
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1810 30th St Ste B
Boulder, CO 80301-1025
Phone: (720) 358-9415
Fax: (303) 499-2020
Street-level locationGet directions
Mailing address
Po Box 200564
Dallas, TX 75320-0564
Other names (DBA / former)
- Doing business as
- Boulder Eye Surgeons
Registry dates
- Enumerated
- 2022-10-27
- Last updated
- 2022-10-27
- Certified
- 2022-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.