Individual provider Active NPI

Linwood Page Pond, O.D.

  • Optometrist
  • Aurora, CO
National Provider Identifier
1376549055
Registry record updated Mar 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CO1006 Issued in CO
Practice address
15320 E Alameda Pkwy
Aurora, CO 80017-2066
Phone
(303) 745-9400
Fax
(303) 369-5212
NPI assigned
Jun 27, 2005
Reactivated
Mar 28, 2006
Last updated
Mar 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CO1006 CO Primary

Addresses

Primary practice location

15320 E Alameda Pkwy
Aurora, CO 80017-2066

Mailing address

15320 E Alameda Pkwy
Aurora, CO 80017-2066
Phone (303) 745-9400

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
I20100324000613 CO Practitioner - Optometry 7810022290 Reassigns benefits to 1 organization
Practice locations: Aurora, CO; Denver, CO

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians

Practice addresses (Care Compare)

15320 E Alameda Pkwy
Aurora, CO 80017-2066
Phone (303) 745-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1006COMDClinical Social Worker
CO1006COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Nov 2, 2020 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Nov 2, 2020 Accepting new patients
Highlands Ranch Vision Center, P.C. Optometrist Past Accepting new patients
L. Page Pond Optometrist PastSince Jan 1, 1990 Accepting new patients

Locations

15320 E Alameda Pkwy
Aurora, CO 80017
Phone (303) 745-9400

200 Quebec St
#600A107
Denver, CO 80230
Phone (303) 361-6600

200 Quebec St
Bldg 600A
Denver, CO 80230
Phone (303) 361-6600

200 Quebec St
Ste 107
Denver, CO 80230

8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727

412 Main St
Longmont, CO 80501
Phone (303) 651-6700

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427500800000",
    "number": "1376549055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15320 E ALAMEDA PKWY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800172066",
            "telephone_number": "303-745-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15320 E ALAMEDA PKWY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800172066",
            "telephone_number": "303-745-9400",
            "fax_number": "303-369-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POND",
        "first_name": "LINWOOD",
        "middle_name": "PAGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2015-03-28",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO1006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.