Individual provider Active NPI

Davis Capaccioli, O.D.

  • Optometrist
  • Durango, CO
National Provider Identifier
1356879944
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003318 Issued in CO
Practice address
3710 Main Ave Ste 203
Durango, CO 81301-4033
Phone
(970) 403-5655
Fax
(970) 403-5964
NPI assigned
May 26, 2017
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 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 OPT.0003318 CO Primary

Addresses

Primary practice location

3710 Main Ave Ste 203
Durango, CO 81301-4033

Mailing address

3710 Main Ave Ste 203
Durango, CO 81301-4033
Phone (970) 403-5655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170726000971 CO Practitioner - Optometry 5294005187 Reassigns benefits to 1 organization
I20200805002308 NM Practitioner - Optometry 5294005187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of New Mexico LTDGroup PAC ID 4486643616, 66 clinicians
Peak Eyecare PLLCGroup PAC ID 7012315104, 3 clinicians

Practice addresses (Care Compare)

1740 Grande Blvd SE
Suite B
Rio Rancho, NM 87124-0300
Phone (505) 892-3434

2947 Rodeo Park Dr E
Santa Fe, NM 87505-6303
Phone (505) 983-6613

3710 Main Ave
Suite 203
Durango, CO 81301-4033
Phone (970) 403-5655

622 W Maple St
Suite E
Farmington, NM 87401-6589
Phone (505) 325-4003

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
87.66
Promoting interoperability
100
Improvement activities
40
Cost
69.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003318COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Eyecare PLLC Optometrist CurrentSince Sep 15, 2021 Accepting new patients
Eye Associates of New Mexico, LTD. Optometrist Past Accepting new patients

Locations

3710 Main Ave
Ste 203
Durango, CO 81301
Phone (970) 385-1583

Interoperability endpoints

  • Direct secure messaging: davis.capaccioli.p1@direct.eyenm.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1356879944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 MAIN AVE STE 203",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014033",
            "telephone_number": "970-403-5655",
            "fax_number": "970-403-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 MAIN AVE STE 203",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014033",
            "telephone_number": "970-403-5655",
            "fax_number": "970-403-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPACCIOLI",
        "first_name": "DAVIS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.