Individual provider Active NPI

Anthony Gust Kohler, DOCTOR OF OPTOMETRY

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1285259200
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003592 Issued in CO
Practice address
5050 N Nevada Ave
Colorado Springs, CO 80918-8602
Phone
(719) 264-5023
NPI assigned
Jun 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003592 CO Primary

Addresses

Primary practice location

5050 N Nevada Ave
Colorado Springs, CO 80918-8602

Mailing address

5050 N Nevada Ave
Colorado Springs, CO 80918-8602
Phone (719) 264-5023

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
I20211105001461 CO Practitioner - Optometry 1153710504 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003592COMDOptometrist
3592COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optom-Eyes,LLC CurrentSince Jul 1, 2023 Accepting new patients
Peak View Optometry South, PLLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Peak View Optometry Fort Carson, LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Peak View Optometry Peterson, PLLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Peak View Optometry North, PLLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Optom-Eyes, Inc. Optometrist PastSince Jul 1, 2023 Accepting new patients
America'S Best Contacts & Eyeglasses PastSince Jun 1, 2020 Accepting new patients

Locations

5885 Barnes Rd
Colorado Springs, CO 80922
Phone (719) 591-3009

3585 Van Teylingen Dr
Colorado Springs, CO 80917
Phone (719) 550-3937

5050 N Nevada Ave
Colorado Springs, CO 80918
Phone (719) 264-5010

1030 E Stewart Ave
Bldg 20
Colorado Springs, CO 80914
Phone (719) 574-5252

7190 N Academy Blvd
Colorado Springs, CO 80920
Phone (719) 559-2020

353 N Academy Blvd
Colorado Springs, CO 80909
Phone (719) 559-2020

6110 Martinez St
Ft Carson, CO 80913
Phone (719) 368-2446

1030 E Stewart Ave
Bldg 2017
Peterson AFB, CO 80914
Phone (719) 574-5252

Organizations & group practices 7

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1285259200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188602",
            "telephone_number": "719-264-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188602",
            "telephone_number": "719-264-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "ANTHONY",
        "middle_name": "GUST",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.