Individual provider Active NPI

Samantha Jean Winder, OD

  • Optometrist
  • Thornton, CO
National Provider Identifier
1376906966
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3334 Issued in CO
Practice address
550 Thornton Pkwy Unit 222
Thornton, CO 80229-2168
Phone
(303) 920-3937
Fax
(303) 452-0065
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3334 CO Primary

Addresses

Primary practice location

550 Thornton Pkwy Unit 222
Thornton, CO 80229-2168

Mailing address

550 Thornton Pkwy Unit 222
Thornton, CO 80229-2168
Phone (303) 920-3937

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
I20210519001778 CO Practitioner - Optometry 2264831536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

550 E Thornton Pkwy
222 Bright Eyes Vision Clinic
Thornton, CO 80229-2168
Phone (303) 920-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3334COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Eyes Vision Clinic PC a Colorado Professional Corporation Optometrist CurrentSince Apr 20, 2021 Accepting new patients
Bright Eyes Vision Clinic PC a Colorado Professional Corporation Optometrist CurrentSince Apr 20, 2021 Accepting new patients
Bright Eyes Vision Clinic PC a Colorado Professional Corporation Optometrist CurrentSince Apr 20, 2021 Accepting new patients
Bright Eyes Vision Clinic PC a Colorado Professional Corporation Optometrist PastSince Nov 8, 2020 Accepting new patients

Locations

15159 E Colfax Ave
Unit B
Aurora, CO 80011
Phone (303) 341-5437

326 Dozier Ave
Canon City, CO 81212
Phone (719) 276-0344

2250 S Monaco Pkwy
Denver, CO 80222
Phone (303) 476-6233

2020 Wadsworth Blvd
Ste 11
Lakewood, CO 80214
Phone (303) 431-1221

550 Thornton Pkwy
Unit 222
Thornton, CO 80229
Phone (303) 920-3937

5385 W 38th Ave
Wheat Ridge, CO 80212
Phone (303) 476-6292

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376906966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 THORNTON PKWY UNIT 222",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292168",
            "telephone_number": "303-920-3937",
            "fax_number": "303-452-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 THORNTON PKWY UNIT 222",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292168",
            "telephone_number": "303-920-3937",
            "fax_number": "303-452-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDER",
        "first_name": "SAMANTHA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.