Individual provider Active NPI

Alexia C Gowing, OD

  • Optometrist
  • Golden, CO
National Provider Identifier
1386402006
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0004031 Issued in CO
Practice address
1409 Washington Ave
Golden, CO 80401-1917
Phone
(303) 271-1400
NPI assigned
Mar 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0004031 CO Primary

Addresses

Primary practice location

1409 Washington Ave
Golden, CO 80401-1917

Mailing address

4690 Miller St Unit B
Wheat Ridge, CO 80033-2823
Phone (719) 440-6699

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
I20240809001164 CO Practitioner - Optometry 6002353992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Table Mountain Vision Center 2020 LLCGroup PAC ID 2163852435, 3 clinicians

Practice addresses (Care Compare)

1409 Washington Ave
Golden, CO 80401-1917
Phone (303) 271-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0004031COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Table Mountain Vision Center 2020, LLC Optometrist CurrentSince Jul 3, 2024 Accepting new patients
Table Mountain Vision Clinic PC Optometrist PastSince Mar 12, 2024 Accepting new patients

Locations

1409 Washington Ave
Golden, CO 80401
Phone (303) 271-1400

Organizations & group practices 2

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": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1386402006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 MILLER ST UNIT B",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332823",
            "telephone_number": "719-440-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011917",
            "telephone_number": "303-271-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWING",
        "first_name": "ALEXIA",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0004031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.