Active NPI
Abby J Schoonover, O.D.
- Optometrist
- Fort Collins, CO
National Provider Identifier
1053597112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2607
- Practice address
- 2105 Bighorn Rd
Suite 104
Fort Collins, CO 80525-3555 - Phone
- (970) 377-0005
- Fax
- (970) 377-2520
- NPI assigned
- Jan 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2607 | CO | Primary |
Addresses
Primary practice location
2105 Bighorn Rd
Suite 104
Fort Collins, CO 80525-3555
Mailing address
2105 Bighorn Rd
Suite 104
Fort Collins, CO 80525-3555
Phone (970) 377-0005
Other names 1
- Abby J Outlaw
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2105 Bighorn Rd
Suite 104
Fort Collins, CO 80525-3578
3609 S Timberline Rd
Unit B
Fort Collins, CO 80525-3430
Phone (970) 377-0005
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2607 | CO | MD | Optometrist |
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 and National Provider Directory roles.
-
- Optometrist
- Fort Collins, CO
- NPI 1396977906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311811200000",
"number": "1053597112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 BIGHORN RD",
"address_2": "SUITE 104",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253555",
"telephone_number": "970-377-0005",
"fax_number": "970-377-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 BIGHORN RD",
"address_2": "SUITE 104",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253555",
"telephone_number": "970-377-0005",
"fax_number": "970-377-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOONOVER",
"first_name": "ABBY",
"middle_name": "J",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-18",
"last_updated": "2011-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABBY",
"last_name": "OUTLAW",
"middle_name": "J",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.