Individual provider Active NPI

Jesse Allen, OD

  • Optometrist
  • Grand Junction, CO
National Provider Identifier
1487336095
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003947 Issued in CO
Practice address
1000 Wellington Ave
Grand Junction, CO 81501-8180
Phone
(970) 256-0400
NPI assigned
Aug 2, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 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.0003947 CO Primary

Addresses

Primary practice location

1000 Wellington Ave
Grand Junction, CO 81501-8180

Mailing address

1000 Wellington Ave
Grand Junction, CO 81501-8180

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
I20231208000180 CO Practitioner - Optometry 1052760683 Reassigns benefits to 2 organizations

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
Total Vision Eye Care Group LLCGroup PAC ID 2163315854, 21 clinicians
Valley Vision Center, Inc.Group PAC ID 1456395359, 6 clinicians

Practice addresses (Care Compare)

1000 Wellington Ave a
Icon Eyecare
Grand Junction, CO 81501-8180
Phone (720) 524-1001

3900 E Mexico Ave
Suite 102
Denver, CO 80210-3941

950 N Ave
Grand JCT, CO 81501-3259

950 N Ave
Suite 106
Grand Junction, CO 81501-7641
Phone (970) 242-0222

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision Eye Care Group LLC Current Accepting new patients
Valley Vision Center, Inc. CurrentSince Nov 24, 2025 Accepting new patients
Total Vision Eye Care Group LLC CurrentSince Oct 23, 2023 Accepting new patients
Total Vision Eye Care Group, LLC CurrentSince Oct 23, 2023 Accepting new patients

Locations

3900 E Mexico Ave
Ste 102
Denver, CO 80210
Phone (303) 800-2078

362 Main St
Grand Junction, CO 81501
Phone (970) 245-6688

950 North Ave
Ste 106
Grand Junction, CO 81501
Phone (970) 242-0222

Interoperability endpoints

  • Direct secure messaging: jesse.allen.p5@direct.keec.nextgenshare.com

Organizations & group practices 4

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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1487336095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WELLINGTON AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WELLINGTON AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018180",
            "telephone_number": "970-256-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JESSE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.