Individual provider Active NPI

Kent Ramsey Godfrey, O.D.

  • Optometrist
  • Greenwood Village, CO
National Provider Identifier
1013094689
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2560 Issued in CO
Practice address
4920 S Yosemite St Ste C5
Greenwood Village, CO 80111-1352
Phone
(303) 220-5100
Fax
(303) 220-5938
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP2560 CO Primary

Addresses

Primary practice location

4920 S Yosemite St Ste C5
Greenwood Village, CO 80111-1352

Mailing address

4920 S Yosemite St Ste C5
Greenwood Village, CO 80111-1352
Phone (303) 220-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070124000692 CO Practitioner - Optometry 0446251011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Front Range Family EyecareGroup PAC ID 8820090954, 9 clinicians

Practice addresses (Care Compare)

4920 S Yosemite St
Suite C5
Greenwood Village, CO 80111-1352
Phone (303) 220-5100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP2560COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Vision OD PLLC Optometrist Current Accepting new patients
Front Range Family Eyecare Optometrist CurrentSince Nov 10, 2006 Accepting new patients

Locations

1176 Aloha St
Ste 400
Castle Rock, CO 80108
Phone (303) 688-4044

850 E Harvard Ave
Ste 205
Denver, CO 80210
Phone (303) 777-3653

4809 Argonne St
Ste 250
Denver, CO 80249
Phone (720) 353-4972

4920 S Yosemite St
Ste C5
Greenwood Village, CO 80111
Phone (303) 220-5100

9045 Forsstrom Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 858-8474

9045 Forsstrom Dr
Lone Tree, CO 80124
Phone (303) 858-8474

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1013094689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 S YOSEMITE ST STE C5",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111352",
            "telephone_number": "303-220-5100",
            "fax_number": "303-220-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 S YOSEMITE ST STE C5",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111352",
            "telephone_number": "303-220-5100",
            "fax_number": "303-220-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "KENT",
        "middle_name": "RAMSEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OP2560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.