Individual provider Active NPI

Eric M Ferris, O.D.

  • Optometrist
  • Gainesville, GA
National Provider Identifier
1013129352
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002325 Issued in GA
Practice address
705 Jesse Jewell Pkwy SE
Suite 100
Gainesville, GA 30501-3867
Phone
(770) 532-9639
NPI assigned
May 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002325 GA Primary

Addresses

Primary practice location

705 Jesse Jewell Pkwy SE
Suite 100
Gainesville, GA 30501-3867

Mailing address

705 Jesse Jewell Pkwy SE
Suite 100
Gainesville, GA 30501-3867
Phone (770) 532-9639

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
I20200603002306 CO Practitioner - Optometry 7618034646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision Eye Care Group LLCGroup PAC ID 2163315854, 21 clinicians

Practice addresses (Care Compare)

1000 Wellington Ave a
Icon Eyecare
Grand Junction, CO 81501-8180
Phone (720) 524-1001

3900 E Mexico Ave
Suite 102
Denver, CO 80210-3941

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
88.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision Eye Care Group LLC CurrentSince Jul 6, 2020 Accepting new patients
Total Vision Eye Care Group LLC CurrentSince Jul 6, 2020 Accepting new patients

Locations

100 Elk Run Dr
Ste 206
Basalt, CO 81621
Phone (970) 256-0400

3900 E Mexico Ave
Ste 102
Denver, CO 80210
Phone (303) 800-2078

350 Indiana St
Ste 220
Golden, CO 80401

1000 Wellington Ave
Ste A
Grand Junction, CO 81501
Phone (970) 256-0400

1190 Bookcliff Ave
Unit 102
Grand Junction, CO 81501
Phone (970) 242-3323

2515 Foresight Cir
Grand Junction, CO 81505
Phone (970) 766-8346

Networks

  • CO HMO D-SNP
  • NM HMO C-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO

Interoperability endpoints

  • Direct secure messaging: eric.ferris.p5@direct.keec.nextgenshare.com

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": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1013129352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 JESSE JEWELL PKWY SE",
            "address_2": "SUITE 100",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013867",
            "telephone_number": "770-532-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 JESSE JEWELL PKWY SE",
            "address_2": "SUITE 100",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013867",
            "telephone_number": "770-532-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "ERIC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-06",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.