Organization Active NPI

Gary a. Jamell MD PC

Doing business as Colorado Eye Care

  • Ophthalmology Physician
  • Englewood, CO
National Provider Identifier
1073640694
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GARY A. JAMELL MD PC
Doing business as
Colorado Eye Care
Practice address
3601 S Clarkson St
Suite 120
Englewood, CO 80113-3944
Phone
(303) 781-4008
Fax
(303) 781-6923
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Dr. Gary Alan Jamell, MDNPI 1508889874
Title
President
Phone
(303) 781-4008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3601 S Clarkson St
Suite 120
Englewood, CO 80113-3944

Mailing address

3601 S Clarkson St
Suite 120
Englewood, CO 80113-3944
Phone (303) 781-4008

Other names 1

  • Colorado Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040317001287 CO Part B Supplier - Clinic/Group Practice 7810887429 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, CO

National Provider Directory

National Provider Directory

Locations

3601 S Clarkson St
Ste 120
Englewood, CO 80113
Phone (303) 781-4008

9397 Crown Crest Blvd
Ste 401
Parker, CO 80138
Phone (303) 407-7920

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1073640694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST",
            "address_2": "SUITE 120",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133944",
            "telephone_number": "303-781-4008",
            "fax_number": "303-781-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST",
            "address_2": "SUITE 120",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133944",
            "telephone_number": "303-781-4008",
            "fax_number": "303-781-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A. JAMELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "JAMELL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-781-4008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.