Active NPI
Ronald E. McElvain, O.D.
- Optometrist
- Colorado Springs, CO
National Provider Identifier
1235328311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 877
- Practice address
- 423 N Circle Dr
Colorado Springs, CO 80909-6246 - Phone
- (719) 471-7347
- Fax
- (719) 471-7340
- NPI assigned
- Oct 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 877 | CO | Primary |
Addresses
Primary practice location
423 N Circle Dr
Colorado Springs, CO 80909-6246
Mailing address
PO Box 25970
Colorado Springs, CO 80936-5970
Phone (719) 330-8772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 877 | CO | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly's Park-Hill Optical Company | Past | Accepting new patients |
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.
-
- Optician
- Colorado Springs, CO
- NPI 1811185218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1235328311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25970",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809365970",
"telephone_number": "719-330-8772",
"fax_number": "719-591-1358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 N CIRCLE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809096246",
"telephone_number": "719-471-7347",
"fax_number": "719-471-7340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELVAIN",
"first_name": "RONALD",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-15",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.