NPIMap

Organization Active NPI

Metrowest Eye Associates, P.C.

Doing business as Black Diamond Eye Care

  • Optometrist
  • Castle Pines, CO
National Provider Identifier
1316091523
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2238 Issued in CO
Legal business name
METROWEST EYE ASSOCIATES, P.C.
Doing business as
Black Diamond Eye Care
Castle Pines Eye Care
Practice address
250 Max Dr
Suite 101
Castle Pines, CO 80108-9517
Phone
(303) 688-5066
Fax
(303) 688-6986
NPI assigned
Jan 23, 2007
Last updated
Jun 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Dr. Jason Troy Ortman, ODNPI 1578545828
Title
Owner/ Optometrist
Phone
(303) 688-5066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2238 CO Primary

Addresses

Primary practice location

250 Max Dr
Suite 101
Castle Pines, CO 80108-9517

Mailing address

250 Max Dr
Suite 101
Castle Pines, CO 80108-9517
Phone (303) 688-5066

Other names 2

  • Black Diamond Eye Care Doing business as
  • Castle Pines Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000189 CO Part B Supplier - Clinic/Group Practice 9032144688 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
Practice locations: Castle Pines, CO; Castle Rock, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Black Diamond Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 Max Dr
Ste 101
Castle Pines, CO 80108
Phone (303) 688-5066

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1316091523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MAX DR",
            "address_2": "SUITE 101",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089517",
            "telephone_number": "303-688-5066",
            "fax_number": "303-688-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAX DR",
            "address_2": "SUITE 101",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089517",
            "telephone_number": "303-688-5066",
            "fax_number": "303-688-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROWEST EYE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "ORTMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "OWNER/ OPTOMETRIST",
        "authorized_official_telephone_number": "303-688-5066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Diamond Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Castle Pines Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castle Pines, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.

Verify at the official NPI Registry.