Individual provider Active NPI

Stanley R Cushing, OD

  • Optometrist
  • Denver, CO
National Provider Identifier
1710985338
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
984 Issued in CO
Practice address
2480 S Downing St
Ste G-30
Denver, CO 80210-5890
Phone
(303) 777-3277
Fax
(303) 698-9713
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 984 CO Primary

Addresses

Primary practice location

2480 S Downing St
Ste G-30
Denver, CO 80210-5890

Mailing address

2480 S Downing St
Ste G-30
Denver, CO 80210-5890
Phone (303) 777-3277

Other identifiers 1

IdentifierTypeStateIssuer
08009847MedicaidCO

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
I20120113000366 CO Practitioner - Optometry 0345417317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coco Eye Surgery Consulting, PLLCGroup PAC ID 9436427374, 4 clinicians

Practice addresses (Care Compare)

750 Potomac St
Suite 223
Aurora, CO 80011-6744
Phone (303) 340-4600

Merit-based Incentive Payment System (MIPS)

Final score
92.88 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
984COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Eye Physicians PC PastSince Jan 17, 2018 Accepting new patients

Organizations & group practices 2

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1710985338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 S DOWNING ST",
            "address_2": "STE G-30",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105890",
            "telephone_number": "303-777-3277",
            "fax_number": "303-698-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 S DOWNING ST",
            "address_2": "STE G-30",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105890",
            "telephone_number": "303-777-3277",
            "fax_number": "303-698-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHING",
        "first_name": "STANLEY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08009847",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.