Benjamin Michael Collins, O.D.
Individual provider Active NPI Optometrist · Grand Junction, CO
NPI 1174752174 · NPPES record last updated Jul 20, 2016
Key facts
- NPI
- 1174752174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2739 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220713003472 | UT | Practitioner - Optometry | 2961548904 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2739 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collins Eye Care | Optometrist | Current | Accepting new patients |
| Valley Vision Center, Inc. | Optometrist | Current | Accepting new patients |
| Standard Optical Company | Optometrist | Current |
Accepting new patients |
| Kow Holdings LLC | Current |
Accepting new patients | |
| Standard Optical Co | Optometrist | Current |
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
228 E Winchester St
Salt Lake City, UT 84107
Phone (801) 263-9125
2124 S Highland Dr
Salt Lake City, UT 84106
Phone (801) 487-4138
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2739 | CO | Yes |
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
Other providers in Grand Junction, CO
- Danielle Elaine Coleman
- Scott Alan Coleman
- Susan Kay Coleman
- Courtney Collard
- Collins Eye Care
- Colorado Chiropractic & Muscle Care LLC
- Colorado Community Dental Services
- Colorado Dental Professionals, LLC
- Colorado Hearing Professionals
- Colorado Mesa University
All providers in Grand Junction, CO · Optometrist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.