Individual provider Active NPI

Justin Hubbard Arbuckle, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Wheat Ridge, CO
National Provider Identifier
1285723452
Registry record updated Sep 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
DR.0048762 Issued in CO
Practice address
4875 Ward Rd
Suite 600
Wheat Ridge, CO 80033
Phone
(303) 456-9456
Fax
(303) 463-7560
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 48762 CO
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X DR.0048762 CO Primary

Addresses

Primary practice location

4875 Ward Rd
Suite 600
Wheat Ridge, CO 80033

Mailing address

4875 Ward Road
Suite 600
Wheat Ridge, CO 80033
Phone (303) 456-9456

Other identifiers 1

IdentifierTypeStateIssuer
33151261MedicaidCO

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826001253 CO Practitioner - Ophthalmology 3870645997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children'S Eye Physicians P.C.Group PAC ID 5890686158, 14 clinicians

Practice addresses (Care Compare)

4875 Ward Rd
Suite 600
Wheat Ridge, CO 80033-1944
Phone (303) 456-9456

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48762COMDOphthalmology Physician
DR.0048762COMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Eye Physicians P.C. Ophthalmology CurrentSince Aug 2, 2010 Accepting new patients
Children'S Eye Physicians P.C. Pediatric Ophthalmology and Strabismus Specialist CurrentSince Aug 2, 2010 Accepting new patients
Indiana Pediatric Ophthalmology & Adult Strabismus, LLC Ophthalmology Past Accepting new patients

Locations

9094 E Mineral Cir
Ste 200
Centennial, CO 80112
Phone (303) 488-0000

9094 E Mineral Cir
Ste 200250
Centennial, CO 80112
Phone (303) 488-0000

9094 E Mineral Cir
Ste 250
Centennial, CO 80112

3464 S Willow St
Ste 410
Denver, CO 80231

2373 Central Park Blvd
Unit 102
Denver, CO 80238
Phone (303) 463-5792

2400 Village Vista Dr
Erie, CO 80516

4875 Ward Rd
Ste 600
Wheat Ridge, CO 80033

Interoperability endpoints

  • Direct secure messaging: justin.arbuckle.p1@direct.cepcolorado.nextgenshare.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535760000000",
    "number": "1285723452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 WARD ROAD",
            "address_2": "SUITE 600",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-456-9456",
            "fax_number": "303-463-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 WARD RD",
            "address_2": "SUITE 600",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-456-9456",
            "fax_number": "303-463-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBUCKLE",
        "first_name": "JUSTIN",
        "middle_name": "HUBBARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "48762",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "CO",
            "license": "DR.0048762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33151261",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.