Individual provider Active NPI

Benjamin Michael Collins, O.D.

  • Optometrist
  • Grand Junction, CO
National Provider Identifier
1174752174
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2739 Issued in CO
Practice address
120 W Park Dr
Ste 108
Grand Junction, CO 81505-1454
Phone
(970) 245-0262
Fax
(970) 744-5383
NPI assigned
Jul 11, 2009
Last updated
Jul 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 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 2739 CO Primary

Addresses

Primary practice location

120 W Park Dr
Ste 108
Grand Junction, CO 81505-1454

Mailing address

3900 E Mexico Ave
Suite 102
Denver, CO 80210-3940
Phone (720) 524-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20220713003472 UT Practitioner - Optometry 2961548904 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2739COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Standard Optical Co Optometrist CurrentSince Apr 19, 2022 Accepting new patients
Valley Vision Center, Inc. Optometrist Current Accepting new patients
Collins Eye Care Optometrist Current Accepting new patients
Kow Holdings LLC CurrentSince Apr 1, 2024 Accepting new patients
Standard Optical Company Optometrist CurrentSince Apr 19, 2022 Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients

Locations

362 Main St
Grand Junction, CO 81501
Phone (970) 245-6688

140 W 5th S
Bountiful, UT 84010
Phone (801) 292-0479

345 W 600 S
Ste 118
Heber City, UT 84032

4878 S Highland Dr
Holladay, UT 84117
Phone (801) 272-8861

4283 Harrison Blvd
Ogden, UT 84403
Phone (801) 479-5060

1455 S State St
Orem, UT 84097
Phone (801) 226-3044

1200 Towne Centre Blvd
Spc 1060
Provo, UT 84601
Phone (801) 373-2254

5421 S 1900 W
Roy, UT 84067
Phone (801) 825-9703

2124 S Highland Dr
Salt Lake City, UT 84106
Phone (801) 487-4138

228 E Winchester St
Salt Lake City, UT 84107
Phone (801) 263-9125

834 E 9400 S
Sandy, UT 84094
Phone (801) 553-9330

250 Red Cliffs Dr
St George, UT 84790
Phone (435) 674-2020

1656 W 9000 S
West Jordan, UT 84088
Phone (801) 255-5454

1901 W Parkway Blvd
West Valley City, UT 84119
Phone (801) 886-2020

Organizations & group practices 10

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": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1174752174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E MEXICO AVE",
            "address_2": "SUITE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103940",
            "telephone_number": "720-524-1001",
            "fax_number": "303-756-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W PARK DR",
            "address_2": "STE 108",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051454",
            "telephone_number": "970-245-0262",
            "fax_number": "970-744-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-11",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.