Individual provider Active NPI

Benjamin McCallson Dixon, O.D.

  • Optometrist
  • Parker, CO
National Provider Identifier
1275812117
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2860 Issued in CO
Practice address
11211 Dransfeldt Rd Ste 125
Parker, CO 80134-9388
Phone
(303) 840-2118
Fax
(303) 840-7095
NPI assigned
Aug 10, 2011
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2860 CO Primary

Addresses

Primary practice location

11211 Dransfeldt Rd Ste 125
Parker, CO 80134-9388

Mailing address

11211 Dransfeldt Rd Ste 125
Parker, CO 80134-9388
Phone (303) 840-2118

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
I20160323001000 CO Practitioner - Optometry 1951608611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BD Eyes LLCGroup PAC ID 3476850231, 2 clinicians

Practice addresses (Care Compare)

11211 Dransfeldt Rd
Suite 125
Parker, CO 80134-9388
Phone (303) 840-2118

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2860COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
BD Eyes, LLC Optometrist CurrentSince Dec 27, 2011 Accepting new patients

Locations

11211 Dransfeldt Rd
Ste 125
Parker, CO 80134
Phone (303) 840-2118

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, 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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1275812117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 DRANSFELDT RD STE 125",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349388",
            "telephone_number": "303-840-2118",
            "fax_number": "303-840-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 DRANSFELDT RD STE 125",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349388",
            "telephone_number": "303-840-2118",
            "fax_number": "303-840-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "BENJAMIN",
        "middle_name": "MCCALLSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.