Individual provider Active NPI

Kalynn Good, OD

  • Optometrist
  • Parker, CO
National Provider Identifier
1558714196
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3372 Issued in CO
Practice address
19539 Hess Rd Unit 102
Parker, CO 80134-3890
Phone
(720) 853-2022
Fax
(720) 853-2022
NPI assigned
Jul 19, 2016
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33772TLG CA
Optometrist 152W00000X OPT.0003372 CO
Optometrist 152W00000X 27OA00667300 NJ
Optometrist 152W00000X 3372 CO Primary
Pediatric Optometrist 152WP0200X OPT.0003372 CO
Pediatric Optometrist 152WP0200X 33772TLG CA
Vision Therapy Optometrist 152WV0400X OPT.0003372 CO
Vision Therapy Optometrist 152WV0400X 33772TLG CA
Vision Therapy Optometrist 152WV0400X 27OA00667300 NJ

Addresses

Primary practice location

19539 Hess Rd Unit 102
Parker, CO 80134-3890

Mailing address

19539 Hess Rd Unit 102
Parker, CO 80134-3890
Phone (720) 853-2022

Other practice location 1

14251 E 6th Ave
Aurora, CO 80011-8706
Phone (303) 343-3133

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
I20221017002135 CO Practitioner - Optometry 9234492554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3372COMDOptometrist
27OA00667300NJMDOptometrist
33772TLGCAMDPediatric Optometrist
OPT.0003372COMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sowash Optometry Group PC Optometrist CurrentSince Oct 27, 2022 Accepting new patients
Good Isight Optometry and Vision Therapy Optometrist CurrentSince Apr 10, 2022 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Oct 27, 2022 Accepting new patients
Old Towne Optometry, Inc. Optometrist PastSince Jul 18, 2018 Accepting new patients
Kimberly Shih O.D., Inc Optometrist Past Accepting new patients

Locations

15795 E Arapahoe Rd
Centennial, CO 80016
Phone (303) 680-1987

19539 Hess Rd
Unit 102
Parker, CO 80134
Phone (720) 853-2022

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

Organizations & group practices 5

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1558714196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19539 HESS RD UNIT 102",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343890",
            "telephone_number": "720-853-2022",
            "fax_number": "720-853-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19539 HESS RD UNIT 102",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343890",
            "telephone_number": "720-853-2022",
            "fax_number": "720-853-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14251 E 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118706",
            "country_code": "US",
            "telephone_number": "303-343-3133",
            "fax_number": "033-433-1393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOD",
        "first_name": "KALYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33772TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003372",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00667300",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3372",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CO",
            "license": "OPT.0003372",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "33772TLG",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "OPT.0003372",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "33772TLG",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "27OA00667300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.