Individual provider Active NPI

Brandon Carl Sloan, O.D.

  • Optometrist
  • Monument, CO
National Provider Identifier
1306253646
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003072 Issued in CO
Practice address
1860 Woodmoor Dr
Suite 103
Monument, CO 80132-9093
Phone
(719) 488-2042
NPI assigned
Jul 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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.0003072 CO Primary

Addresses

Primary practice location

1860 Woodmoor Dr
Suite 103
Monument, CO 80132-9093

Mailing address

1860 Woodmoor Dr Ste 103
Monument, CO 80132-9073
Phone (719) 488-2042

Other identifiers 1

IdentifierTypeStateIssuer
60688874MedicaidCO

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
I20140911001762 CO Practitioner - Optometry 4789803412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Vision Clinic PCGroup PAC ID 8628241668, 3 clinicians

Practice addresses (Care Compare)

1860 Woodmoor Dr
Suite 103
Monument, CO 80132-9093
Phone (719) 488-2042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Vision Clinic PC Optometrist CurrentSince Jul 14, 2014 Accepting new patients
Chapel Hills Vision P C Optometrist Past Accepting new patients

Locations

1860 Woodmoor Dr
Ste 103
Monument, CO 80132
Phone (719) 488-2042

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": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1306253646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 WOODMOOR DR STE 103",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329073",
            "telephone_number": "719-488-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 WOODMOOR DR",
            "address_2": "SUITE 103",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329093",
            "telephone_number": "719-488-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "BRANDON",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60688874",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

Verify at the official NPI Registry.