Individual provider Active NPI

Curtis Wade Gales, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1689633463
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1849 Issued in CO
Practice address
2145 Academy Cir
Colorado Springs, CO 80909-1658
Phone
(719) 574-7000
Fax
(719) 597-1712
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1849 CO Primary

Addresses

Primary practice location

2145 Academy Cir
Colorado Springs, CO 80909-1658

Mailing address

2145 Academy Cir
Colorado Springs, CO 80909-1658
Phone (719) 574-7000

Other identifiers 1

IdentifierTypeStateIssuer
40123227MedicaidCO

Other names 1

  • Curtis W Gales Professional name

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
I20101019000523 CO Practitioner - Optometry 5193918555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Executive Park Eye Care PLLCGroup PAC ID 8022916220, 2 clinicians

Practice addresses (Care Compare)

9240 Explorer Dr
Suite 100
Colorado Springs, CO 80920-5004
Phone (719) 574-7000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1849COMDOccupational Therapist

Organizations & group practices 1

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1689633463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 ACADEMY CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091658",
            "telephone_number": "719-574-7000",
            "fax_number": "719-597-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 ACADEMY CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091658",
            "telephone_number": "719-574-7000",
            "fax_number": "719-597-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALES",
        "first_name": "CURTIS",
        "middle_name": "WADE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40123227",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CURTIS",
            "last_name": "GALES",
            "middle_name": "W",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.