Active NPI
David A Simonson, OD
- Optometrist
- Fort Lupton, CO
National Provider Identifier
1356314744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2357
- Practice address
- 301 Denver Ave
Fort Lupton, CO 80621-1821 - Phone
- (303) 857-6550
- Fax
- (303) 857-6596
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2357 | CO | Primary |
Addresses
Primary practice location
301 Denver Ave
Fort Lupton, CO 80621-1821
Mailing address
301 Denver Ave
Fort Lupton, CO 80621-1821
Phone (303) 857-6550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00743735 | Other | CO | RAILROAD MEDICARE MEMBER PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
301 Denver Ave
Fort Lupton, CO 80621-1821
Phone (303) 857-6550
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2357 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Lupton Vision Center PC | Optometrist | Current | Accepting new patients |
Locations
301 Denver Ave
Fort Lupton, CO 80621
Phone (303) 857-6550
Organizations & group practices 1
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.
-
- Optometrist
- Fort Lupton, CO
- NPI 1558544833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1356314744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 DENVER AVE",
"city": "FORT LUPTON",
"state": "CO",
"postal_code": "806211821",
"telephone_number": "303-857-6550",
"fax_number": "303-857-6596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 DENVER AVE",
"city": "FORT LUPTON",
"state": "CO",
"postal_code": "806211821",
"telephone_number": "303-857-6550",
"fax_number": "303-857-6596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONSON",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE MEMBER PTAN",
"identifier": "P00743735",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lupton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.