Individual provider Active NPI

Steven Patrick Clancy, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1619966504
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2116 Issued in CO
Practice address
9475A Briar Village PT
Suite 200
Colorado Springs, CO 80920-7902
Phone
(719) 594-2020
NPI assigned
Oct 14, 2005
Last updated
Jul 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2116 CO Primary

Addresses

Primary practice location

9475A Briar Village PT
Suite 200
Colorado Springs, CO 80920-7902

Mailing address

9475A Briar Village PT
Suite 200
Colorado Springs, CO 80920-7902
Phone (719) 594-2020

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
I20130725000606 CO Practitioner - OptometryPractitioner - Ophthalmology 4082855572 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wright Eye Center P CGroup PAC ID 3274425343, 4 clinicians

Practice addresses (Care Compare)

2485 E Pikes Peak Ave
Colorado Springs, CO 80909-6004
Phone (719) 634-2001

Merit-based Incentive Payment System (MIPS)

Final score
91.54 of 100Reported as group
Quality
95.48
Improvement activities
40
Cost
77.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2116COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Eye Center P C Optometrist CurrentSince Apr 28, 2015 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Jul 26, 2014 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Jul 26, 2014 Accepting new patients

Locations

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

2485 E Pikes Peak Ave
Colorado Springs, CO 80909
Phone (719) 328-0003

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

Interoperability endpoints

  • Direct secure messaging: sclancy@wrighteyecenter.ecldirect.net

Organizations & group practices 4

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1619966504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475A BRIAR VILLAGE PT",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207902",
            "telephone_number": "719-594-2020",
            "fax_number": "719-694-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475A BRIAR VILLAGE PT",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207902",
            "telephone_number": "719-594-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "STEVEN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.