Individual provider Active NPI

Gregory R Coit, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1710022637
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2699 Issued in CO
Practice address
13384 Clinet Dr
Colorado Springs, CO 80921-7638
Phone
(916) 284-4520
Fax
(719) 434-2287
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2699 CO Primary

Addresses

Primary practice location

13384 Clinet Dr
Colorado Springs, CO 80921-7638

Mailing address

13384 Clinet Dr
Colorado Springs, CO 80921-7638
Phone (916) 284-4520

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
I20130404000177 CO Practitioner - Optometry 0143405688 Practice locations: Colorado Springs, CO; Fountain, CO; Monument, CO; Pueblo, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2699COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Usv Optical Inc Optometrist Past Accepting new patients
Usv Optical Inc Past Accepting new patients
Cameron Park Eyecare Past Accepting new patients
Winnie Lei, OD, Inc Optometrist PastSince Jun 30, 2011 Accepting new patients

Organizations & group practices 4

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1710022637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13384 CLINET DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217638",
            "telephone_number": "916-284-4520",
            "fax_number": "719-434-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13384 CLINET DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217638",
            "telephone_number": "916-284-4520",
            "fax_number": "719-434-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COIT",
        "first_name": "GREGORY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.