Active NPI
John W Colvin, O.D.
- Optometrist
- Loveland, CO
National Provider Identifier
1487656146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 99143599
- Practice address
- 3650 E 15TH St
Loveland, CO 80538-8701 - Phone
- (970) 669-1107
- Fax
- (970) 669-8849
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 99143599 | CO | Primary |
Addresses
Primary practice location
3650 E 15TH St
Loveland, CO 80538-8701
Mailing address
3650 E 15TH St
Loveland, CO 80538-8701
Phone (970) 669-1107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 905025020761 | Other | CO | EYE SPECIALISTS |
| 8014359 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99143599 | CO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1487656146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 E 15TH ST",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805388701",
"telephone_number": "970-669-1107",
"fax_number": "970-669-8849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 E 15TH ST",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805388701",
"telephone_number": "970-669-1107",
"fax_number": "970-669-8849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVIN",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "99143599",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE SPECIALISTS",
"identifier": "905025020761",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8014359",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.