Individual provider Active NPI

Amanda Axman, O.D.

  • Optometrist
  • Golden, CO
National Provider Identifier
1588072755
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT0003429 Issued in CO
Practice address
2301 Ford St
Golden, CO 80401
Phone
(303) 278-2020
NPI assigned
Jul 31, 2014
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4929 FL
Optometrist 152W00000X OPT0003429 CO Primary

Addresses

Primary practice location

2301 Ford St
Golden, CO 80401

Mailing address

2301 Ford St
Golden, CO 80401-2427
Phone (303) 278-2020

Other practice location 1

3200 S University Dr
Terry Building 1402
Davie, FL 33328-2018
Phone (954) 262-1402

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
I20190320002644 CO Practitioner - Optometry 3577784305 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Hour Optical Medical Services, PCGroup PAC ID 4880662485, 42 clinicians

Practice addresses (Care Compare)

1685 S Co Blvd
Unit O
Denver, CO 80222-4011
Phone (303) 757-6747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
One Hour Optical Medical Services, PC Optometrist CurrentSince Sep 14, 2024 Accepting new patients
One Hour Optical Medical Services, PC Optometrist CurrentSince Sep 14, 2024 Accepting new patients
Golden Vision Clinic PC Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Aran Eye Associates PA Past Accepting new patients

Locations

1685 S Colorado Blvd
Unit O
Denver, CO 80222
Phone (303) 757-6747

2301 Ford St
Golden, CO 80401
Phone (303) 278-2020

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": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1588072755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 FORD ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012427",
            "telephone_number": "303-278-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 FORD ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-278-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 S University Dr",
            "address_2": "Terry Building 1402",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333282018",
            "country_code": "US",
            "telephone_number": "954-262-1402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AXMAN",
        "first_name": "AMANDA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4929",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT0003429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.