Active NPI
Steven Wayne Rogers, O.D.
- Optometrist
- Wheat Ridge, CO
National Provider Identifier
1558324897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 907
- Practice address
- 6280 W 38TH Ave
Wheat Ridge, CO 80033-5056 - Phone
- (303) 431-8887
- Fax
- (303) 431-8992
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 907 | CO | Primary |
Addresses
Primary practice location
6280 W 38TH Ave
Wheat Ridge, CO 80033-5056
Mailing address
6280 W 38TH Ave
Wheat Ridge, CO 80033-5056
Phone (303) 431-8887
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 840990765 | Other | CO | TAX ID |
| 410003198 | Other | CO | RAILROAD MEDICARE |
| 08009078 | Medicaid | CO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100812000763 | CO | Practitioner - Optometry | 8325172331 | Practice locations: Wheat Ridge, CO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TCC Optometry Inc | Optometrist | Past | Accepting new patients |
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": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1558324897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6280 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800335056",
"telephone_number": "303-431-8887",
"fax_number": "303-431-8992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6280 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800335056",
"telephone_number": "303-431-8887",
"fax_number": "303-431-8992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "STEVEN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "840990765",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410003198",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08009078",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.