Individual provider Active NPI

Jada Joy Mattson, OD

  • Optometrist
  • Englewood, CO
National Provider Identifier
1437836020
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003949 Issued in CO
Practice address
10520 El Diente CT Ste a
Englewood, CO 80112-2656
Phone
(720) 524-1001
NPI assigned
Jul 5, 2023
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003949 CO Primary

Addresses

Primary practice location

10520 El Diente CT Ste a
Englewood, CO 80112-2656

Mailing address

2570 Lawrence St Apt 210
Denver, CO 80205-3865
Phone (701) 590-2978

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
I20230928000447 CO Practitioner - Optometry 6002260825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parker Vision Specialists PCGroup PAC ID 4183727464, 3 clinicians

Practice addresses (Care Compare)

9235 Crown Crest Blvd
Suite 150
Parker, CO 80138-5800
Phone (303) 840-6268

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
88.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003949COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Vision Specialists PC Optometrist CurrentSince Aug 26, 2024 Accepting new patients

Locations

9235 Crown Crest Blvd
Ste 150
Parker, CO 80138
Phone (303) 840-6268

Organizations & group practices 1

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1437836020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 LAWRENCE ST APT 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053865",
            "telephone_number": "701-590-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 EL DIENTE CT STE A",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801122656",
            "telephone_number": "720-524-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "JADA",
        "middle_name": "JOY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.