Individual provider Active NPI

Alexia Bounkhong, OD

  • Optometrist
  • Denver, CO
National Provider Identifier
1689160194
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003405 Issued in CO
Practice address
850 S Dahlia Circle
Apt F105
Denver, CO 80246
Phone
(479) 463-0663
NPI assigned
Jul 9, 2018
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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.0003405 CO Primary

Addresses

Primary practice location

850 S Dahlia Circle
Apt F105
Denver, CO 80246

Mailing address

850 S Dahlia Circle
Apt F105
Denver, CO 80246
Phone (479) 463-0663

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
I20190930001766 CO Practitioner - Optometry 6901136274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision Eye Care Group LLCGroup PAC ID 2163315854, 21 clinicians

Practice addresses (Care Compare)

1000 Wellington Ave a
Icon Eyecare
Grand Junction, CO 81501-8180
Phone (720) 524-1001

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
88.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision Eye Care Group LLC Current Accepting new patients
Sowash Optometry Group PC Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Total Vision Eye Care Group, LLC CurrentSince Jun 1, 2022 Accepting new patients
Total Vision Eye Care Group LLC CurrentSince Jun 1, 2022 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Sep 1, 2019 Accepting new patients

Locations

1421 S Potomac St
Ste 130
Aurora, CO 80012
Phone (303) 337-3937

3900 E Mexico Ave
Ste 102
Denver, CO 80210
Phone (303) 800-2078

55 Madison St
Ste 355
Denver, CO 80206
Phone (303) 398-7320

7305 E 35th Ave
Unit 180
Denver, CO 80238
Phone (303) 320-0222

10520 El Diente Ct
Ste A
Englewood, CO 80112
Phone (720) 414-5310

350 Indiana St
Ste 220
Golden, CO 80401

1000 Wellington Ave
Ste A
Grand Junction, CO 81501
Phone (970) 256-0400

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

500 W 144th Ave
Ste 110
Westminster, CO 80023
Phone (303) 428-9696

Interoperability endpoints

  • Direct secure messaging: alexia.bounkhong.p6@direct.keec.nextgenshare.com

Organizations & group practices 5

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1689160194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S DAHLIA CIRCLE",
            "address_2": "APT F105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "479-463-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S DAHLIA CIRCLE",
            "address_2": "APT F105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "479-463-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUNKHONG",
        "first_name": "ALEXIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.