Individual provider Active NPI

Mitchell Todd Munson, O.D.

  • Optometrist
  • Highlands Ranch, CO
National Provider Identifier
1194862862
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1320 Issued in CO
Practice address
8925 Ridgeline Blvd Ste 107
Highlands Ranch, CO 80129-2502
Phone
(303) 791-2727
Fax
(303) 791-2529
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Co LLC 63 clinicians

Practice addresses (Care Compare)

2249 W Eisenhower Blvd
Loveland, CO 80537-3147
Phone (970) 669-4587

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20111108000659 CO Practitioner - Optometry 7911899984 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1320COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Jan 28, 2020 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Jan 28, 2020 Accepting new patients

Locations

8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727

412 Main St
Longmont, CO 80501
Phone (303) 651-6700

412 Main St
Unit 1
Longmont, CO 80501

2249 W Eisenhower Blvd
Loveland, CO 80537
Phone (970) 667-8533

Interoperability endpoints

  • Direct secure messaging: drmitchellmunson@hrvc.direct.kno2fy.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1320 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

8925 Ridgeline Blvd Ste 107
Highlands Ranch, CO 80129-2502

Mailing address

8925 Ridgeline Blvd Ste 107
Highlands Ranch, CO 80129-2502
Phone (303) 791-2727

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1320OtherCOSTATE LICENSE NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194862862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 RIDGELINE BLVD STE 107",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292502",
            "telephone_number": "303-791-2727",
            "fax_number": "303-791-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 RIDGELINE BLVD STE 107",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292502",
            "telephone_number": "303-791-2727",
            "fax_number": "303-791-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "MITCHELL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "1320",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.