ANGELA BRYANT (OD) – Optometrist, NPI 1366293029

ANGELA BRYANT (OD) is a healthcare provider. based in Boulder, Colorado. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0003991 (CO). The NPI Number for ANGELA BRYANT (OD) is 1366293029

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA BRYANT (OD)
NPI
1366293029
Phone
Not provided
Address
1649 YARMOUTH AVE UNIT 1
Enumeration Date
1 April 2024
Last Update Date
1 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
3034569456
Graduation Year
2023 (3 years ago)
PAC ID
1850732033
Group Practice PAC ID
5890686158
Professional Enrollment ID
I20240520000536
Address ID
CO800331944WH4875XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

Provider Addresses for ANGELA BRYANT (OD)

  • 1649 YARMOUTH AVE UNIT 1

    BOULDER, CO 803040501

    Phone:

    Type: Mailing

  • 700 S BUCKLEY RD APT K

    AURORA, CO 800173253

    Phone: (720) 762-4290

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($117).

Total Amount

$151

General + Research + Ownership

Payments

2

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240520000536IOptometryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80304)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890686158View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCO
O P T O M E T R YCO
-CO
O P H T H A L M O L O G YCO
O P T O M E T R YCO
O P H T H A L M O L O G YAL
O P H T H A L M O L O G YOH
O P T O M E T R YCO
O P H T H A L M O L O G YCO
O P H T H A L M O L O G YDC

Reviews

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Frequently asked questions

Can I verify ANGELA BRYANT (OD) with an NPI only?
You can start verification with NPI 1366293029 for ANGELA BRYANT (OD), then check state licensing separately.
Is ANGELA BRYANT (OD) still practicing?
ANGELA BRYANT (OD) is currently listed as active in the public NPI registry.
What is ANGELA BRYANT (OD) best known for clinically?
Directory data describes ANGELA BRYANT (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does ANGELA BRYANT (OD) serve?
ANGELA BRYANT (OD)'s listing highlights Boulder, Colorado; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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