Organization Active NPI

S Matthew Buchanan OD PC

Doing business as RidgeView Optometry

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1265514665
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
S MATTHEW BUCHANAN OD PC
Doing business as
RidgeView Optometry
Practice address
8540 Scarborough Drive
Suite 240
Colorado Springs, CO 80920
Phone
(719) 495-5904
Fax
(719) 282-3081
NPI assigned
Oct 19, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
S Mathew Buchanan, OD
Title
President
Phone
(719) 495-5904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

8540 Scarborough Drive
Suite 240
Colorado Springs, CO 80920

Mailing address

5018 Petrified Forest TRL
Colorado Springs, CO 80920-2911
Phone (719) 488-6736

Other names 1

  • RidgeView Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061228000017 CO Part B Supplier - Clinic/Group Practice 0749280675 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

8540 Scarborough Dr
Ste 240
Colorado Springs, CO 80920
Phone (719) 495-5904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1265514665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 PETRIFIED FOREST TRL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202911",
            "telephone_number": "719-488-6736",
            "fax_number": "719-282-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DRIVE",
            "address_2": "SUITE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-495-5904",
            "fax_number": "719-282-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S MATTHEW BUCHANAN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "S MATHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-495-5904",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RidgeView Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.