Ewing R McClelland, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003092 Issued in CO

Practice address

3500 S College Ave Ste 180
Fort Collins, CO 80525-2660

Phone

(970) 498-8388

Fax

(970) 498-8380

NPI assigned

Jun 25, 2009

Last updated

Apr 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA, CO2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Colorado PCGroup PAC ID 7113359415, 58 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: 108293@visionworks.emadirect.md

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.

• Myeyedr Optometry of Colorado PC

  dba MyEyeDr.

  • Optometrist
  • Parker, CO
  • NPI 1174170526
  Medicare reassignment Care Compare group NPD
• Jackson Eyecare, PC

  dba Jackson Eye Care

  • Optometrist
  • Fort Collins, CO
  • NPI 1396878328
  Medicare reassignment NPD
• One Hour Optical Medical Services, PC

  dba One Hour Optical

  • Optometrist
  • Denver, CO
  • NPI 1770648297
  Medicare reassignment NPD
• Sowash Optometry Group PC

  dba VisionWorks

  • Optometrist
  • Lakewood, CO
  • NPI 1336172055
  Medicare reassignment NPD
• Myeyedr Optometry of Virginia PLLC

  dba MyEyeDr

  • Optometrist
  • Ashburn, VA
  • NPI 1174933691
  Medicare reassignment NPD
• Jackson Eye Care, PC

  • Optometrist
  • Fort Collins, CO
  • NPI 1912721440
  NPD
• Myeyedr Optometry of Colorado PC

  • Optometrist
  • Parker, CO
  • NPI 1164382842
  NPD
• Myeyedr Optometry of Colorado PC

  dba MyEyeDr.

  • Optometrist
  • Boulder, CO
  • NPI 1740864339
  NPD
• One Hour Optical Medical Services, PC

  dba Eyecare Specialties of Colorado

  • Optometrist
  • Greenwood Village, CO
  • NPI 1437471414
  NPD
• Sowash Optometry Group, PC

  dba Visionworks

  • Eyewear Supplier
  • Denver, CO
  • NPI 1891404174

  Optometrist

  NPD
• Myeyedr Optometry of Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Culpeper, VA
  • NPI 1396291381
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • North Chesterfield, VA
  • NPI 1932075983
  NPD

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1568690774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S COLLEGE AVE STE 180",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252660",
            "telephone_number": "970-498-8388",
            "fax_number": "970-498-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Stafford Market Pl",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225564531",
            "country_code": "US",
            "telephone_number": "540-657-2020",
            "fax_number": "540-657-1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "EWING",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001861",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33756236",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568690774",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita McCarty
• Rebecca McChesney, MA, LPCC
• Mistee Rose McClain
• Tori McClaine
• Rebecca McClanahan, CMT
• Beth McClenathan, RN
• Carley McClure, LPC, MS
• Paul McClure, MS
• Sheila Marie McCollam, FNP - BC
• Amber Shields McCollum

• Optometrist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.