Michael L. Streeter, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003728 Issued in CO

Practice address

1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604

Phone

(719) 526-7450

NPI assigned

Jun 21, 2021

Last updated

Apr 26, 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 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

88.49 of 100Reported as group

Quality

89.62

Improvement activities

40

Cost

75.47

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Britt a Buckley MD PC

  dba Peak VIsion Center

  • Corneal and Contact Management Optometrist
  • Colorado Springs, CO
  • NPI 1417162355
  Medicare reassignment NPD
• Peak Vision Canon City Prof, LLC

  • Optometrist
  • Canon City, CO
  • NPI 1326159492
  Medicare reassignment NPD
• Rocky Mountain Eye Center Inc a Colorado Provider Network

  • Ophthalmology Physician
  • Pueblo, CO
  • NPI 1073567459

  Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1598334898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR UNIT MEDDAC",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR UNIT MEDDAC",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETER",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Allen Stone, M.D.
• Jonathan D Stormer, DO
• Claire Elizabeth Stowers
• Athena Joyce Stoyas, M.D.
• Melissa Strane
• Demi Lauren Strobel
• Katherine Stutz, MSW
• Anthony Sullivan, M.D.
• Chester Steven Sullivan, PA-C
• Gerald Wayne Surrett II, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.