Individual provider Active NPI

Eric A Strautman, OD

  • Optometrist
  • Glenwood Springs, CO
National Provider Identifier
1265426613
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1492 Issued in CO
Practice address
3122 Blake Ave
Glenwood Springs, CO 81601-4415
Phone
(970) 945-2020
Fax
(970) 945-5630
NPI assigned
Aug 31, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1492 CO Primary

Addresses

Primary practice location

3122 Blake Ave
Glenwood Springs, CO 81601-4415

Mailing address

3122 Blake Ave
Glenwood Springs, CO 81601-4415
Phone (970) 945-2020

Other identifiers 1

IdentifierTypeStateIssuer
08014720MedicaidCO

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201000688 CO Practitioner - Optometry 3678669959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2020 Eye Care PLLCGroup PAC ID 0345131181, 5 clinicians

Practice addresses (Care Compare)

3122 Blake Ave
Glenwood Springs, CO 81601-4415
Phone (970) 945-2020

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1492COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
2020 Eye Care PLLC Optometrist CurrentSince Aug 1, 1994 Accepting new patients
2020 Eye Care PLLC Optometrist Past Accepting new patients

Locations

59 N 4th St
Carbondale, CO 81623
Phone (970) 963-3937

3122 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 945-2020

Organizations & group practices 2

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265426613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014415",
            "telephone_number": "970-945-2020",
            "fax_number": "970-945-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014415",
            "telephone_number": "970-945-2020",
            "fax_number": "970-945-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUTMAN",
        "first_name": "ERIC",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08014720",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.