Colorado Eye Surgeons, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

COLORADO EYE SURGEONS, LLC

Practice address

3401 Quebec St Ste 4100
Denver, CO 80207-2322

Phone

(720) 515-9493

NPI assigned

Apr 29, 2021

Organization subpart

No

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

Authorized official

Name

Clayton Pennington, MDNPI 1467867002

Title

Owner

Phone

(229) 669-8202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: crocken@coloradoes.intellechartdirect.net

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clayton William Pennington, M.D.

  • Ophthalmology Physician
  • Augusta, GA
  • NPI 1467867002

  CO

  Medicare reassignment Care Compare group NPD Authorized official
• Claire Tobias Rocken, OD

  • Optometrist
  • Stickney, IL
  • NPI 1750950101

  CO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1376126284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 QUEBEC ST STE 4100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 QUEBEC ST STE 4100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072322",
            "telephone_number": "720-515-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO EYE SURGEONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-669-8202",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colorado Dream Foundation
• Colorado Dream Foundation
• Colorado Dream Foundation
• Colorado Dream Foundation
• Colorado Eye Center, LLC
• Colorado Eye Surgeons, P.C.
• Colorado Family Medicine
• Colorado Family Medicine & Geriatrics PC
• Colorado Fiscal Management Services Inc.
• Colorado Food Cluster Inc.

• Ophthalmology Physician in Denver, CO
• Providers in Denver, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.