Individual provider Active NPI

Jeffrey H Gold, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1396801544
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT0003065 Issued in CO
Practice address
1315 N Academy Blvd
Colorado Springs, CO 80909
Phone
(719) 597-6987
Fax
(719) 597-7190
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 8975 TPA CA
Optometrist 152W00000X OPT0003065 CO Primary

Addresses

Primary practice location

1315 N Academy Blvd
Colorado Springs, CO 80909

Mailing address

1238 Martin Dr
Colorado Springs, CO 80915-2215
Phone (619) 448-7228

Other practice location 1

5450 Clairemont Mesa Blvd
Ste D
San Diego, CA 92117-2346
Phone (858) 292-1700

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
I20180308001740 CO Practitioner - Optometry 4688835986 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 8975 TPACAMDOptometrist
OPT0003065COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Center Incorporated Optometrist CurrentSince Jan 31, 2018 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Oct 15, 2018 Accepting new patients
Sowash Optometry Group PC Optometrist CurrentSince Oct 15, 2018 Accepting new patients

Locations

1315 N Academy Blvd
Colorado Springs, CO 80909
Phone (719) 597-6987

3740 Bloomington St
Colorado Springs, CO 80922
Phone (719) 597-6987

7238 N Academy Blvd
Colorado Springs, CO 80920
Phone (719) 292-9991

355 S Wadsworth Blvd
Unit D
Lakewood, CO 80226
Phone (720) 962-6906

9078 Westview Rd
Lone Tree, CO 80124
Phone (303) 662-8977

712 Fortino Blvd
Pueblo, CO 81008
Phone (719) 542-0236

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

Interoperability endpoints

  • Direct secure messaging: 100392@visionworks.emadirect.md

Organizations & group practices 3

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1396801544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 MARTIN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152215",
            "telephone_number": "619-448-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-597-6987",
            "fax_number": "719-597-7190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5450 Clairemont Mesa Blvd",
            "address_2": "STE D",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921172346",
            "country_code": "US",
            "telephone_number": "858-292-1700",
            "fax_number": "858-292-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JEFFREY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 8975 TPA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT0003065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.