Individual provider Active NPI

Gregory A. Vosseteig

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1306991096
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0001613 Issued in CO
Practice address
3501 S. Shields St
Fort Collins, CO 80526-2583
Phone
(970) 490-2020
Fax
(970) 221-3121
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0001613 CO Primary

Addresses

Primary practice location

3501 S. Shields St
Fort Collins, CO 80526-2583

Mailing address

3501 S Shields St
Fort Collins, CO 80526-2583
Phone (970) 490-2020

Other identifiers 2

IdentifierTypeStateIssuer
08016131MedicaidCO
P00273245OtherCORR MEDICARE

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
I20050920001377 CO Practitioner - Optometry 4880628791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Northern Colorado PCGroup PAC ID 5496644841, 67 clinicians

Practice addresses (Care Compare)

1725 E Prospect Rd
Fort Collins, CO 80525-1307
Phone (970) 221-2222

Merit-based Incentive Payment System (MIPS)

Final score
91.23 of 100Reported as group
Quality
84.06
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001613COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of Northern Colorado, P.C. CurrentSince Jun 15, 2023 Accepting new patients
Gregory a. Vosseteig P.C. CurrentSince Nov 3, 2014 Accepting new patients

Locations

2100 W Drake Rd
Ste 6
Fort Collins, CO 80526
Phone (970) 490-2036

1725 E Prospect Rd
Fort Collins, CO 80525
Phone (970) 221-2222

3501 S Shields St
#2020
Fort Collins, CO 80526
Phone (970) 490-2020

3501 S Shields St
Fort Collins, CO 80526
Phone (970) 490-2020

3151 Precision Dr
Fort Collins, CO 80528
Phone (970) 221-2222

2555 E 13th St
Ste 225
Loveland, CO 80537
Phone (970) 221-2222

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1306991096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S SHIELDS ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262583",
            "telephone_number": "970-490-2020",
            "fax_number": "970-221-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S. SHIELDS ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262583",
            "telephone_number": "970-490-2020",
            "fax_number": "970-221-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSSETEIG",
        "first_name": "GREGORY",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0001613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08016131",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00273245",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.