Individual provider Active NPI

Benjamin Sturdy, O.D.

  • Optometrist
  • Englewood, CO
National Provider Identifier
1730495318
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-2810 Issued in CO
Practice address
10520 El Diente CT
Englewood, CO 80112-2656
Phone
(720) 524-1001
Fax
(720) 524-1121
NPI assigned
Aug 20, 2010
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-2810 CO Primary

Addresses

Primary practice location

10520 El Diente CT
Englewood, CO 80112-2656

Mailing address

3900 E Mexico Ave
Ste 102
Denver, CO 80210-3940
Phone (720) 524-1001

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
I20110805000219 CO Practitioner - Optometry 7810166972 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2810COMDAddiction (Substance Use Disorder) Counselor
OPT-2810COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin D. Sturdy O.D., P.C. Optometrist CurrentSince Jan 9, 2022 Accepting new patients
Benjamin D. Sturdy O.D., P.C. Optometrist CurrentSince Jun 15, 2018 Accepting new patients
Benjamin D. Sturdy O.D., P.C. Optometrist Past Accepting new patients

Locations

4252 S Chambers Rd
Aurora, CO 80014
Phone (303) 690-1696

834 S Perry St
Ste E
Castle Rock, CO 80104
Phone (303) 688-0290

7562 S University Blvd
Ste I
Centennial, CO 80122
Phone (303) 694-3937

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, 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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1730495318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E MEXICO AVE",
            "address_2": "STE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103940",
            "telephone_number": "720-524-1001",
            "fax_number": "720-524-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 EL DIENTE CT",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801122656",
            "telephone_number": "720-524-1001",
            "fax_number": "720-524-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDY",
        "first_name": "BENJAMIN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT-2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.