Individual provider Active NPI

Caitlin Maciejewski, O.D.

  • Optometrist
  • Peyton, CO
National Provider Identifier
1699177840
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003067 Issued in CO
Practice address
7685 McLaughlin Rd Ste 130
Peyton, CO 80831-4751
Phone
(719) 886-4770
NPI assigned
Sep 18, 2014
Last updated
Dec 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003067 CO Primary
Optometrist 152W00000X 0003067 CO

Addresses

Primary practice location

7685 McLaughlin Rd Ste 130
Peyton, CO 80831-4751

Mailing address

530 Communication Cir
Colorado Springs, CO 80905-1744
Phone (719) 596-2020

Other practice location 1

7095 Lexington Dr
Colorado Springs, CO 80918-6329
Phone (719) 638-4010

Other practice location 2

1585 3rd St
Fort Polk, LA 71459-5102
Phone (337) 531-3289

Other practice location 3

1541 S 8th St
Colorado Springs, CO 80905-1923
Phone (719) 577-4400

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
I20180906000504 CO Practitioner - Optometry 2365792785 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Love Care IncGroup PAC ID 5496189003, 2 clinicians

Practice addresses (Care Compare)

350 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone (719) 596-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003067COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Magic View, LLC Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Eye Love Care Inc Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Simmons Eye Associates Optometrist CurrentSince Sep 5, 2018 Accepting new patients
Simmons Eye Associates Optometrist CurrentSince Sep 5, 2018 Accepting new patients
Falcon Family Eye Care, LLC Optometrist CurrentSince Sep 12, 2018 Accepting new patients
Eye Love Care Inc Optometrist Past Accepting new patients
Archdale Optometry Corporation PLLC Optometrist PastSince Apr 20, 2010 Accepting new patients
Spectrum Eye Care, PC Optometrist PastSince Jan 15, 2010 Accepting new patients
Oneopto Co 1 PLLC Optometrist Past Accepting new patients
Eye Love Care Inc Optometrist Past Accepting new patients

Locations

13530 Northgate Estates Dr
Ste 200
Colorado Springs, CO 80921
Phone (719) 593-2333

320 E Fontanero St
Ste 201
Colorado Springs, CO 80907
Phone (719) 559-2020

350 Printers Pkwy
Colorado Springs, CO 80910
Phone (719) 596-2020

530 Communication Cir
Colorado Springs, CO 80905
Phone (719) 309-4758

7415 Firehouse Vw
Ste 100
Peyton, CO 80831
Phone (719) 886-4770

7685 McLaughlin Rd
Ste 130
Peyton, CO 80831
Phone (719) 257-2648

Organizations & group practices 10

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": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575763200000",
    "number": "1699177840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 COMMUNICATION CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051744",
            "telephone_number": "719-596-2020",
            "fax_number": "719-465-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 MCLAUGHLIN RD STE 130",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314751",
            "telephone_number": "719-886-4770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7095 Lexington Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809186329",
            "country_code": "US",
            "telephone_number": "719-638-4010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1585 3rd St",
            "address_purpose": "LOCATION",
            "city": "Fort Polk",
            "state": "LA",
            "postal_code": "714595102",
            "country_code": "US",
            "telephone_number": "337-531-3289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1541 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809051923",
            "country_code": "US",
            "telephone_number": "719-577-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACIEJEWSKI",
        "first_name": "CAITLIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003067",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peyton, CO

Sources for this page

Verify at the official NPI Registry.