Individual provider Active NPI

Cynthia Collins, O.D.

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1306229729
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003138 Issued in CO
Practice address
373 W Drake Rd Ste 3
Fort Collins, CO 80526-2881
Phone
(970) 223-7150
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2043 SC
Optometrist 152W00000X OPT.0003138 CO Primary

Addresses

Primary practice location

373 W Drake Rd Ste 3
Fort Collins, CO 80526-2881

Mailing address

373 W Drake Rd Ste 3
Fort Collins, CO 80526-2881

Other practice location 1

4225 Carolina Exchange Dr Ste A
Myrtle Beach, SC 29579-4221
Phone (843) 903-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150814013025 CO Practitioner - Optometry 7517272966 Reassigns benefits to 1 organization
I20200218000289 SC Practitioner - Optometry 7517272966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Collins Family Eye CareGroup PAC ID 1951600949, 2 clinicians

Practice addresses (Care Compare)

373 W Drake Rd
Suite 3
Fort Collins, CO 80526-2881
Phone (970) 223-7150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Collins Family Eye Care Optometrist CurrentSince Sep 19, 2023 Accepting new patients
Aeg South Carolina Professional PC Optometrist CurrentSince Aug 18, 2023 Accepting new patients
Carolina Forest Family Eyecare, P.a. Optometrist CurrentSince Feb 22, 2020 Accepting new patients

Locations

373 W Drake Rd
Ste 3
Fort Collins, CO 80526
Phone (970) 223-7150

4225 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 903-6262

4225 Carolina Exchange Dr
#A
Myrtle Beach, SC 29579
Phone (843) 903-6262

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1306229729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 W DRAKE RD STE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 W DRAKE RD STE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262881",
            "telephone_number": "970-223-7150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4225 Carolina Exchange Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295794221",
            "country_code": "US",
            "telephone_number": "843-903-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2043",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.