Dirk S Colby, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2668 Issued in MN

Practice address

5851 Duluth St
Ste 215
Golden Valley, MN 55422-3956

Phone

(763) 546-8422

Fax

(763) 546-8114

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Metro Ophthalmology PAGroup PAC ID 8729067848, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• West Metro Ophthalmology, PA

  • Ophthalmology Physician
  • Monticello, MN
  • NPI 1760523518
  Medicare reassignment Care Compare group NPD
• West Metro Ophthalmology, PA

  • Ophthalmology Physician
  • Plymouth, MN
  • NPI 1376684746
  NPD
• West Metro Ophthalmology, PA

  • Ophthalmology Physician
  • Buffalo, MN
  • NPI 1952442790
  NPD
• West Metro Ophthalmology

  • Ophthalmology Physician
  • Golden Valley, MN
  • NPI 1316002801
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1548266273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 DULUTH ST",
            "address_2": "STE 215",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223956",
            "telephone_number": "763-546-8422",
            "fax_number": "763-546-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 DULUTH ST",
            "address_2": "STE 215",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223956",
            "telephone_number": "763-546-8422",
            "fax_number": "763-546-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY",
        "first_name": "DIRK",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410042866",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE",
            "identifier": "2200705",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013537200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "69Q24CO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick Lewis Claussen, DC
• Leslie A Clayton, PA C
• Teri L Clayton, LMLP
• Clinical Benefit Group, Inc.
• Norman Jeffrey Cohen, PH D
• Shawn C Cole, COTA
• Leslie Chereis Coleman, PTA FI
• Kristy Cynthia Collier, LPCC
• Cassadaeh Maguel Collins Jr.
• Colores Speech, L.L.C.

• Optometrist in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.