Individual provider Active NPI

Samuel J Baron

  • Optometrist
  • Golden, CO
National Provider Identifier
1700843307
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
828 Issued in CO
Practice address
2301 Ford St
Golden, CO 80401-2427
Phone
(303) 278-2020
Fax
(303) 279-7623
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 828 CO Primary

Addresses

Primary practice location

2301 Ford St
Golden, CO 80401-2427

Mailing address

2301 Ford St
Golden, CO 80401-2427
Phone (303) 278-2020

Other identifiers 1

IdentifierTypeStateIssuer
08008286MedicaidCO

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
I20080811000086 CO Practitioner - Optometry 9830263839 Reassigns benefits to 2 organizations

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
828COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
One Hour Optical Medical Services, PC Optometrist CurrentSince Sep 14, 2024 Accepting new patients
One Hour Optical Medical Services, PC Optometrist CurrentSince Sep 14, 2024 Accepting new patients

Locations

1685 S Colorado Blvd
Unit O
Denver, CO 80222
Phone (303) 757-6747

2301 Ford St
Golden, CO 80401
Phone (303) 278-2020

Organizations & group practices 3

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1700843307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 FORD ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012427",
            "telephone_number": "303-278-2020",
            "fax_number": "303-279-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 FORD ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012427",
            "telephone_number": "303-278-2020",
            "fax_number": "303-279-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08008286",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.