Charles Gallegos, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003071 Issued in CO

Practice address

2930 11TH Ave
Evans, CO 80620-1011

Phone

(970) 346-2590

Fax

(970) 350-4645

NPI assigned

Jul 18, 2014

Last updated

Mar 18, 2020By 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

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.gallegos.1@32657.direct.athenahealth.com

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.

• Loma Eye Care, LLC

  dba LOMA Eye Care

  • Optometrist
  • Lakewood, CO
  • NPI 1831608868
  NPD Authorized official
• Picuris Medical Center

  • Dentist
  • Penasco, NM
  • NPI 1598561318

  TX

  Medicare reassignment
• Bright Eyes Vision Clinic PC a Colorado Professional Corporation

  dba Bright Eyes Vision Clinic

  • Optometrist
  • Thornton, CO
  • NPI 1568063881
  NPD

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1609283902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-353-9403",
            "fax_number": "970-350-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-346-2590",
            "fax_number": "970-350-4645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11960 Lioness Way Ste 190",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801345640",
            "country_code": "US",
            "telephone_number": "303-794-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Focus Point Consulting LLC (Dr John a. Molinario, Optometrist)
• Focus Point Consulting LLC (Dr John a. Molinario)
• Dallas Katelynn Frisbie
• Allyssa Funk, PA
• Aaron Ronny Gabrieloff
• Victoria M Gerber, LPC
• Eric Keven Gibson, NO
• Glee Frances Gile, PA-C
• Godpath Ministries, Inc.
• Alexis Ramses Gomez Mendoza, PHARMD

• Optometrist in Evans, CO
• Providers in Evans, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.