Individual provider Active NPI

John N Mihelich, O.D.

  • Optometrist
  • Fort Collins, CO
National Provider Identifier
1467570655
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2251 Issued in CO
Practice address
238 E Harmony Rd Unit D16
Fort Collins, CO 80525-8000
Phone
(970) 266-1243
Fax
(970) 282-1681
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2251 CO Primary

Addresses

Primary practice location

238 E Harmony Rd Unit D16
Fort Collins, CO 80525-8000

Mailing address

238 E Harmony Rd Unit D16
Fort Collins, CO 80525-8000
Phone (970) 266-1243

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
I20100512000828 CO Practitioner - Optometry 9234267220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

238 E Harmony Rd
Unit D16
Fort Collins, CO 80525-8000
Phone (970) 266-1243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2251COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cache la Poudre Optometry, P.C. Optometrist CurrentSince Apr 20, 2015 Accepting new patients

Locations

238 E Harmony Rd
Unit D16
Fort Collins, CO 80525
Phone (970) 223-8414

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1467570655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 E HARMONY RD UNIT D16",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805258000",
            "telephone_number": "970-266-1243",
            "fax_number": "970-282-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 E HARMONY RD UNIT D16",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805258000",
            "telephone_number": "970-266-1243",
            "fax_number": "970-282-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHELICH",
        "first_name": "JOHN",
        "middle_name": "N",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.