Individual provider Active NPI

Yubisela Toledo, OD

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1336711662
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT0003724 Issued in CO
Practice address
2438 Research Pkwy Ste 200
Colorado Springs, CO 80920-1094
Phone
(719) 599-5083
Fax
(719) 599-3291
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT0003724 CO Primary

Addresses

Primary practice location

2438 Research Pkwy Ste 200
Colorado Springs, CO 80920-1094

Mailing address

2438 Research Pkwy Ste 200
Colorado Springs, CO 80920-1094
Phone (719) 599-5083

Other identifiers 1

IdentifierTypeStateIssuer
OPT0003724OtherCOSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL COLORADOSPRINGS

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
I20210831000968 CO Practitioner - Optometry 4789080714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chapel Hills Vision P CGroup PAC ID 0042101081, 3 clinicians

Practice addresses (Care Compare)

2438 Research Pkwy
Suite 200
Colorado Springs, CO 80920-1094
Phone (719) 599-5083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT0003724COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chapel Hills Vision P C Optometrist CurrentSince Aug 16, 2021 Accepting new patients
Chapel Hills Vision P C Optometrist PastSince Jul 25, 2021 Accepting new patients

Locations

2438 Research Pkwy
Ste 200
Colorado Springs, CO 80920
Phone (719) 599-5083

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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1336711662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 RESEARCH PKWY STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201094",
            "telephone_number": "719-599-5083",
            "fax_number": "719-599-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 RESEARCH PKWY STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201094",
            "telephone_number": "719-599-5083",
            "fax_number": "719-599-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLEDO",
        "first_name": "YUBISELA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT0003724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPT0003724",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "COLORADOSPRINGS",
            "affiliation": "N",
            "address_1": "2438 Research Pkwy Ste 200",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809201094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.