Individual provider Active NPI

Dean Bancroft, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1295717007
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2954 Issued in CO
Practice address
8890 N Union Blvd Ste 205
Colorado Springs, CO 80920-2702
Phone
(719) 574-1654
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4946TG TX
Optometrist 152W00000X TUV006212 NY
Optometrist 152W00000X 2954 CO Primary

Addresses

Primary practice location

8890 N Union Blvd Ste 205
Colorado Springs, CO 80920-2702

Mailing address

8890 N Union Blvd Ste 205
Colorado Springs, CO 80920-2702
Phone (719) 574-1654

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
I20150114000499 CO Practitioner - Optometry 4981928355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Vision Services LLCGroup PAC ID 8820256001, 9 clinicians

Practice addresses (Care Compare)

1660 Allison St
Lakewood, CO 80214-6023
Phone (303) 232-7177

2365 Patriot HTS
Colorado Springs, CO 80904-5135
Phone (719) 667-5360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2954COMDOptometrist
TUV006212NYMDOptometrist
4946TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Eye Center PC CurrentSince Mar 16, 2021 Accepting new patients
Senior Vision Services LLC Optometrist CurrentSince Oct 29, 2014 Accepting new patients

Locations

8890 N Union Blvd
Ste 205
Colorado Springs, CO 80920
Phone (719) 574-1654

1660 Allison St
Lakewood, CO 80214
Phone (303) 232-7177

10826 Old Mill Rd
Ste 101
Omaha, NE 68154

Interoperability endpoints

  • Direct secure messaging: dbancroft@cheye.intellechartdirect.net

Organizations & group practices 2

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1295717007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 N UNION BLVD STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202702",
            "telephone_number": "719-574-1654",
            "fax_number": "719-574-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 N UNION BLVD STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202702",
            "telephone_number": "719-574-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANCROFT",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4946TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006212",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.