Individual provider Active NPI

Daniel Keith Giovagnoli, O.D.

  • Optometrist
  • Eagle, CO
National Provider Identifier
1518928985
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1437 Issued in CO
Practice address
201 Golden Eagle Unit a-2
Eagle, CO 81631-4405
Phone
(970) 328-0365
NPI assigned
Mar 28, 2006
Last updated
Jun 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1437 CO Primary

Addresses

Primary practice location

201 Golden Eagle Unit a-2
Eagle, CO 81631-4405

Mailing address

PO Box 4405
Eagle, CO 81631-4405
Phone (970) 328-0365

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
I20050928001360 CO Practitioner - Optometry 4880629831 Reassigns benefits to 1 organization
Practice locations: Breckenridge, CO

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyes on Breckenridge IncGroup PAC ID 6507991973, 2 clinicians

Practice addresses (Care Compare)

216 S Main St
Suite 2
Breckenridge, CO 80424-4654
Phone (970) 453-6910

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
Eyes on Breckenridge, Inc Optometrist CurrentSince Jan 3, 2010 Accepting new patients
Daniel Giovagnoli, O.D. Optometrist PastSince Jan 1, 2003 Accepting new patients

Organizations & group practices 2

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1518928985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4405",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816314405",
            "telephone_number": "970-328-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOLDEN EAGLE UNIT A-2",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "816314405",
            "telephone_number": "970-328-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVAGNOLI",
        "first_name": "DANIEL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, CO

Sources for this page

Verify at the official NPI Registry.