Individual provider Active NPI

Lynn Dwayne Durfee, O. D.

  • Optometrist
  • Aurora, CO
National Provider Identifier
1114917127
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CO1800 Issued in CO
Practice address
14991 E Hampden Ave
Suite 110
Aurora, CO 80014-3983
Phone
(303) 963-9561
Fax
(303) 963-0713
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CO1800 CO Primary

Addresses

Primary practice location

14991 E Hampden Ave
Suite 110
Aurora, CO 80014-3983

Mailing address

5790 W 44TH Ave
Denver, CO 80212-7340
Phone (303) 421-4422

Other identifiers 1

IdentifierTypeStateIssuer
08918005MedicaidCO

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
I20050315000972 CO Practitioner - Optometry 8628047479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Look Optical PCGroup PAC ID 2668451055, 10 clinicians

Practice addresses (Care Compare)

3130 S Parker Rd
Aurora, CO 80014-3110
Phone (303) 752-2662

5790 W 44TH Ave
Denver, CO 80212-7340
Phone (303) 421-4422

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO1800COMDOptometrist
1800COMDAcupuncturist

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1114917127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 W 44TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127340",
            "telephone_number": "303-421-4422",
            "fax_number": "303-431-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14991 E HAMPDEN AVE",
            "address_2": "SUITE 110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143983",
            "telephone_number": "303-963-9561",
            "fax_number": "303-963-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURFEE",
        "first_name": "LYNN",
        "middle_name": "DWAYNE",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO1800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08918005",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.