NPIMap

Organization Active NPI

Jason Jost OD PC

Doing business as Pikes Peak Eye Care

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1164630588
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
867 Issued in CO
Legal business name
JASON JOST OD PC
Doing business as
Pikes Peak Eye Care
Practice address
710 N Circle Dr
Colorado Springs, CO 80909
Phone
(719) 632-1587
Fax
(719) 632-1563
NPI assigned
May 18, 2007
Last updated
Nov 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Authorized official

Name
Jason Jost, ODNPI 1316907314
Title
Owner
Phone
(719) 632-1587

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 867 CO Primary

Addresses

Primary practice location

710 N Circle Dr
Colorado Springs, CO 80909

Mailing address

710 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 632-1587

Other names 1

  • Pikes Peak 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
O20040916001164 CO Part B Supplier - Clinic/Group Practice 4183691272 Receives reassigned benefits from 4 practitioners
Practice locations: Colorado SPGS, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2073772Pikes Peak Eye Care710 North Circle Dr, Colorado Springs, CO 80909Certificate of waiverFeb 23, 2028

National Provider Directory

National Provider Directory

Locations

710 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 632-1587

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1164630588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N CIRCLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-632-1587",
            "fax_number": "719-632-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N CIRCLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-632-1587",
            "fax_number": "719-632-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON JOST OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "JOST",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-632-1587",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pikes Peak Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pikes Peak Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.