Individual provider Active NPI

Kimberly Chang Woo, O.D.

  • Optometrist
  • Centennial, CO
National Provider Identifier
1447600200
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003217 Issued in CO
Practice address
2370 E Arapahoe Rd Ste 921
Centennial, CO 80122-3175
Phone
(720) 283-2020
NPI assigned
Jun 13, 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 OPT.0003217 CO Primary

Addresses

Primary practice location

2370 E Arapahoe Rd Ste 921
Centennial, CO 80122-3175

Mailing address

2370 E Arapahoe Rd Ste 921
Centennial, CO 80122-3175
Phone (720) 283-2020

Other practice location 1

14200 E Alameda Ave
Aurora, CO 80012-2511
Phone (303) 344-2800

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
I20160718001181 CO Practitioner - Optometry 8325330012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lisa M Hamilton, PCGroup PAC ID 8426156175, 4 clinicians

Practice addresses (Care Compare)

5132 S Wadsworth Blvd
Unit 110
Littleton, CO 80123-2213
Phone (303) 972-9731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All About Eyes, LLC Optometrist CurrentSince Dec 25, 2016 Accepting new patients
All About Vision, LLC PastSince Dec 25, 2016 Accepting new patients
Eye Love Care Inc Optometrist Past Accepting new patients
Eye Love Care Inc Optometrist Past Accepting new patients

Locations

2370 E Arapahoe Rd
Ste 921
Centennial, CO 80122
Phone (303) 913-4781

Organizations & group practices 5

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447600200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 E ARAPAHOE RD STE 921",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223175",
            "telephone_number": "720-283-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 E ARAPAHOE RD STE 921",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223175",
            "telephone_number": "720-283-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14200 E Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800122511",
            "country_code": "US",
            "telephone_number": "303-344-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOO",
        "first_name": "KIMBERLY",
        "middle_name": "CHANG",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.