Individual provider Active NPI

Alexandra Paige Kleinkort, OD

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1033838032
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003809 Issued in CO
Practice address
9320 Grand Cordera Pkwy Ste 255
Colorado Springs, CO 80924-7021
Phone
(719) 258-1240
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003809 CO Primary

Addresses

Primary practice location

9320 Grand Cordera Pkwy Ste 255
Colorado Springs, CO 80924-7021

Mailing address

4137 Brookside Mesa VW
Colorado Springs, CO 80923-4495
Phone (719) 237-3580

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
I20230609000706 CO Practitioner - Optometry 9234596099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James Lee MD PCGroup PAC ID 2264533892, 8 clinicians

Practice addresses (Care Compare)

16420 W Hwy 24
Woodland Park, CO 80863-8760
Phone (719) 282-1211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James Lee MD PC CurrentSince Oct 1, 2022 Accepting new patients

Locations

9320 Grand Cordera Pkwy
Ste 255
Colorado Springs, CO 80924
Phone (719) 258-1240

1 Education Way
Colorado Springs, CO 80906
Phone (719) 258-1240

9320 Grand Cordera Pkwy
#25
Colorado Springs, CO 80924
Phone (719) 258-1240

1100 Carson Ave
La Junta, CO 81050
Phone (719) 383-6000

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1033838032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 BROOKSIDE MESA VW",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809234495",
            "telephone_number": "719-237-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 GRAND CORDERA PKWY STE 255",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247021",
            "telephone_number": "719-258-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINKORT",
        "first_name": "ALEXANDRA",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.