Active NPI
Gene A Johnson, O.D.
- Optometrist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1256
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abba Eye Care PC | Optometrist | Current | Accepting new patients |
| Abba Eye Care PC | Optometrist | Current | 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.
-
- Optometrist
- Colorado Springs, CO
- NPI 1952301129
-
- Optometrist
- Colorado Springs, CO
- NPI 1992919419
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.