Individual provider Active NPI

Barbara A Jodoin, O.D.

  • Optometrist
  • Lakewood, CO
National Provider Identifier
1689024630
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3561 Issued in CO
Practice address
7586 W Jewell Ave
Ste 104
Lakewood, CO 80232
Phone
(303) 233-7575
Fax
(303) 233-4740
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3561 CO Primary

Addresses

Primary practice location

7586 W Jewell Ave
Ste 104
Lakewood, CO 80232

Mailing address

7586 W Jewell Ave
Ste 104
Lakewood, CO 80232
Phone (303) 233-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171018003159 TN Practitioner - Optometry 0941576946 Reassigns benefits to 1 organization
I20210126000852 CO Practitioner - Optometry 0941576946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern College of OptometryGroup PAC ID 4587550454, 57 clinicians

Practice addresses (Care Compare)

1245 Madison Ave
Memphis, TN 38104-2211
Phone (901) 722-3385

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3561COMDPsychologist
3228TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Feb 15, 2021 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Feb 15, 2021 Accepting new patients
Southern College of Optometry Optometrist CurrentSince Sep 1, 2023 Accepting new patients

Locations

8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727

7586 W Jewell Ave
Ste 104
Lakewood, CO 80232
Phone (303) 233-7575

412 Main St
Longmont, CO 80501
Phone (303) 651-6700

1245 Madison Ave
Memphis, TN 38104
Phone (901) 722-3250

1350 Concourse Ave
Ste 264
Memphis, TN 38104
Phone (901) 252-3670

Interoperability endpoints

  • Direct secure messaging: barbie.jodoin@toyosclinic.directbygreenway.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1689024630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7586 W JEWELL AVE",
            "address_2": "STE 104",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80232",
            "telephone_number": "303-233-7575",
            "fax_number": "303-233-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7586 W JEWELL AVE",
            "address_2": "STE 104",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80232",
            "telephone_number": "303-233-7575",
            "fax_number": "303-233-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODOIN",
        "first_name": "BARBARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.