Courtney Putnam, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT00283 Issued in GA

Practice address

3993 Limelight Ave
Unit F
Castle Rock, CO 80109

Phone

(770) 591-9838

NPI assigned

Jul 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Alabama School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metrowest Eye Associates, P.C.Group PAC ID 9032144688, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Metrowest Eye Associates, P.C.

  dba Black Diamond Eye Care

  • Optometrist
  • Castle Pines, CO
  • NPI 1316091523
  Medicare reassignment Care Compare group NPD
• Lisa M Hamilton, PC

  dba Active Eyes, PC

  • Optometrist
  • Littleton, CO
  • NPI 1033320361
  Medicare reassignment
• Metrowest Eye Associates, P.C.

  dba Black Diamond Eye Care

  • Optometrist
  • Lakewood, CO
  • NPI 1710548904
  NPD

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1427432855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3993 LIMELIGHT AVE",
            "address_2": "UNIT F",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 LIMELIGHT AVE",
            "address_2": "UNIT F",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80109",
            "telephone_number": "770-591-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "COURTNEY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT00283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promise Ranch Therapeutic Riding
• Courtney Pronin
• Hanna Brooke Pruss
• Ashlee Rebecca Pulver, PMHNP
• Jill Purdy
• Quiet Spirit Counseling Professional LLC
• Quiet Spirit Counseling Professional LLC
• Radiant Counseling and Consulting LLC
• Radz Dental Sleep Center
• Joseph J Raffa, O.D.

• Optometrist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.