Individual provider Active NPI

John Joseph Bardash, O.D.

  • Optometrist
  • Denver, CO
National Provider Identifier
1699951004
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2635 Issued in CO
Practice address
6460 E Yale Ave
Ste. A20
Denver, CO 80222-7156
Phone
(720) 316-7739
Fax
(720) 259-9360
NPI assigned
Jan 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2635 CO Primary

Addresses

Primary practice location

6460 E Yale Ave
Ste. A20
Denver, CO 80222-7156

Mailing address

6460 E Yale Ave
Ste. A20
Denver, CO 80222-7156
Phone (720) 316-7739

Other identifiers 1

IdentifierTypeStateIssuer
COA109315OtherCOINDIVIDUAL PTAN

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
I20050430000062 CO Practitioner - Optometry 2668411414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simple Optical IncGroup PAC ID 8123347515, 5 clinicians

Practice addresses (Care Compare)

6545 Gunpark Dr
Suite 250
Boulder, CO 80301-3350
Phone (303) 530-1973

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2635COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Simple Optical, Inc. Optometrist CurrentSince Dec 1, 2022 Accepting new patients

Locations

6545 Gunpark Dr
Ste 250
Boulder, CO 80301
Phone (303) 530-1973

6460 E Yale Ave
Unit A20
Denver, CO 80222
Phone (720) 316-7739

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": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1699951004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 E YALE AVE",
            "address_2": "STE. A20",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227156",
            "telephone_number": "720-316-7739",
            "fax_number": "720-259-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6460 E YALE AVE",
            "address_2": "STE. A20",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227156",
            "telephone_number": "720-316-7739",
            "fax_number": "720-259-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDASH",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "COA109315",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.