Individual provider Active NPI

Corey D. Pratt, O.D.

  • Optometrist
  • Greeley, CO
National Provider Identifier
1598940777
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-2617 Issued in CO
Practice address
3485 W 10TH St Ste C
Greeley, CO 80634-5368
Phone
(970) 353-4746
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-2617 CO Primary

Addresses

Primary practice location

3485 W 10TH St Ste C
Greeley, CO 80634-5368

Mailing address

3826 Jefferson Dr
Loveland, CO 80538-4835
Phone (714) 930-6769

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
I20161118000079 CO Practitioner - Optometry 9032498894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WM Rex Eland OD PCGroup PAC ID 1557307436, 2 clinicians
One Hour Optical Medical Services, PCGroup PAC ID 4880662485, 42 clinicians

Practice addresses (Care Compare)

1211 Ake Ave
Suite 102
Berthoud, CO 80513-9381
Phone (970) 532-5605

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

2980 Ginnala Dr
Suite a
Loveland, CO 80538-2825
Phone (970) 669-8555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-2617COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
WM. Rex Eland, O.D., P.C. Optometrist CurrentSince Oct 6, 2016 Accepting new patients

Locations

1211 Lake Ave
Ste 102
Berthoud, CO 80513
Phone (970) 532-5605

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1598940777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 JEFFERSON DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384835",
            "telephone_number": "714-930-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 W 10TH ST STE C",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345368",
            "telephone_number": "970-353-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "COREY",
        "middle_name": "D.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT-2617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.