Individual provider Active NPI

Jennifer Diane Owen, O.D.

  • Optometrist
  • Denver, CO
National Provider Identifier
1275778748
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2690 Issued in CO
Practice address
545 S Broadway
Suite 500 B-1
Denver, CO 80209-4067
Phone
(720) 570-4338
Fax
(720) 570-3662
NPI assigned
Dec 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2690 CO Primary

Addresses

Primary practice location

545 S Broadway
Suite 500 B-1
Denver, CO 80209-4067

Mailing address

11103 West Ave
Ste 6
San Antonio, TX 78213-1338
Phone (210) 524-6803

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
I20090617000301 CO Practitioner - Optometry 8123178910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2407 S College Ave
300 Visionworks
Fort Collins, CO 80525-1777
Phone (970) 484-3787

4206 N Fwy
Visionworks
Pueblo, CO 81008-2060
Phone (719) 253-2538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2690COMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sowash Optometry Group, PC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Sowash Optometry Group PC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Sowash Optometry Group PC Past Accepting new patients

Locations

13955 E Mississippi Ave
Aurora, CO 80012
Phone (303) 695-4999

6252 S Central St
Aurora, CO 80016
Phone (303) 693-0333

1 Flatiron Cir
Ste 2026
Broomfield, CO 80021
Phone (303) 469-0857

15795 E Arapahoe Rd
Centennial, CO 80016
Phone (303) 680-1987

7238 N Academy Blvd
Colorado Springs, CO 80920
Phone (719) 292-9991

545 S Broadway
Ste 500
Denver, CO 80209
Phone (720) 570-4338

7305 E 35th Ave
Unit 180
Denver, CO 80238
Phone (303) 320-0222

2407 S College Ave
Ste 300
Fort Collins, CO 80525
Phone (970) 484-3787

2155 Greeley Mall
Ste B
Greeley, CO 80631
Phone (970) 356-1161

4918B Thompson Pkwy
Johnstown, CO 80534
Phone (970) 461-1086

355 S Wadsworth Blvd
Unit D
Lakewood, CO 80226
Phone (720) 962-6906

14500 W Colfax Ave
Unit 524
Lakewood, CO 80401
Phone (303) 271-0354

8501 W Bowles Ave
Ste 1050
Littleton, CO 80123
Phone (303) 948-3332

9078 Westview Rd
Lone Tree, CO 80124
Phone (303) 662-8977

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

9410 Sheridan Blvd
Westminster, CO 80031
Phone (303) 429-1382

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1275778748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "STE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131338",
            "telephone_number": "210-524-6803",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 S BROADWAY",
            "address_2": "SUITE 500 B-1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094067",
            "telephone_number": "720-570-4338",
            "fax_number": "720-570-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.