Active NPI
Ronald W Pelton MD PHD PC
- Ophthalmology Physician
- Colorado Springs, CO
National Provider Identifier
1306875455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- RONALD W PELTON MD PHD PC
- Practice address
- 2770 N Union Blvd
Suite 100
Colorado Springs, CO 80909-1120 - Phone
- (719) 329-0040
- Fax
- (719) 329-0080
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosa M Tellez
- Title
- Office Manager
- Phone
- (719) 329-0040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
2770 N Union Blvd
Suite 100
Colorado Springs, CO 80909-1120
Mailing address
2770 N Union Blvd
Suite 100
Colorado Springs, CO 80909-1120
Phone (719) 329-0040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97632082 | Medicaid | CO | |
| 70722382 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2770 N Union Blvd
Ste 100
Colorado Springs, CO 80909
Phone (719) 329-0040
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Colorado Springs, CO
- NPI 1144209404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752105600000",
"number": "1306875455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2770 N UNION BLVD",
"address_2": "SUITE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091120",
"telephone_number": "719-329-0040",
"fax_number": "719-329-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 N UNION BLVD",
"address_2": "SUITE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091120",
"telephone_number": "719-329-0040",
"fax_number": "719-329-0080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD W PELTON MD PHD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A",
"authorized_official_last_name": "TELLEZ",
"authorized_official_first_name": "ROSA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "719-329-0040"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "97632082",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70722382",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
- Rona's Acupuncture Clinic
- Ronald D. Thoman DDS., PC. (Oral and Maxillofacial Specialist PC.)
- Ronald J Charity DMD PC
- Ronald McDonald House Charities of Southern Colorado
- Ronald Salvaggione, DC, PC (Alta Vista Chiropractic, PC)
- Krystel Joy Roncales, FNP
- Ronald Paul Ronco, D.M.D.
- Gabriel Ricardo Rondon
- Melody Elaine Ronk, PA-C
- Danielle Ronner, L.AC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.