Individual provider Active NPI

Gene A Johnson, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1598722498
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1256 Issued in CO
Practice address
1130 Lake Plaza Dr
Suite 230
Colorado Springs, CO 80906-3594
Phone
(719) 219-3819
Fax
(719) 219-0411
NPI assigned
Apr 26, 2006
Last updated
Apr 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1256 CO Primary

Addresses

Primary practice location

1130 Lake Plaza Dr
Suite 230
Colorado Springs, CO 80906-3594

Mailing address

1130 Lake Plaza Dr
Suite 230
Colorado Springs, CO 80906-3594
Phone (719) 219-3819

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
I20050719000580 CO Practitioner - Optometry 4587691803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1984
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)

1033 S Gaylord St
Denver, CO 80209-4635
Phone (303) 282-5429

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

2036 E 17TH Ave
Denver, CO 80206-1106
Phone (303) 282-5427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abba Eye Care PC Optometrist CurrentSince Dec 19, 2015 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Dec 19, 2015 Accepting new patients

Locations

2101 Main St
Ste D
Alamosa, CO 81101
Phone (719) 589-2020

14991 E Hampden Ave
Ste 110
Aurora, CO 80014
Phone (303) 343-9500

1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020

1130 Lake Plaza Dr
Ste 230
Colorado Springs, CO 80906
Phone (719) 219-3819

1813 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 632-2020

4430 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 635-2020

6220 Woodmen Park Vw
Colorado Springs, CO 80923
Phone (719) 634-2020

7975 Fountain Mesa Rd
Fountain, CO 80817
Phone (719) 573-2020

6110 Martinez St
Ft Carson, CO 80913
Phone (719) 368-2446

420 N Main St
Gunnison, CO 81230
Phone (719) 641-2020

314 Colorado Ave
La Junta, CO 81050
Phone (303) 544-8331

1500 S Main St
Lamar, CO 81052
Phone (719) 336-0417

2800 Cornerstone Dr
Ste A6
Pagosa Springs, CO 81147
Phone (970) 731-4300

1030 E Stewart Ave
Bldg 2017
Peterson AFB, CO 80914
Phone (719) 574-5252

1650 W US Highway 50
Pueblo, CO 81008
Phone (719) 542-1222

900 W Northern Ave
Pueblo, CO 81004
Phone (719) 542-2222

Organizations & group practices 3

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1598722498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 LAKE PLAZA DR",
            "address_2": "SUITE 230",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063594",
            "telephone_number": "719-219-3819",
            "fax_number": "719-219-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 LAKE PLAZA DR",
            "address_2": "SUITE 230",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063594",
            "telephone_number": "719-219-3819",
            "fax_number": "719-219-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GENE",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.