Active NPI
John Joseph Bardash, O.D.
- Optometrist
- Denver, CO
National Provider Identifier
1699951004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2635
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| COA109315 | Other | CO | INDIVIDUAL 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
Enrollment records 1
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
Practice addresses (Care Compare)
6545 Gunpark Dr
Suite 250
Boulder, CO 80301-3350
Phone (303) 530-1973
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2635 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simple Optical, Inc. | Optometrist | Current | 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.
-
- Optometrist
- Boulder, CO
- NPI 1518352699
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.