Individual provider Active NPI

Dana Reilly Hill, OD

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1780160325
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003416 Issued in CO
Practice address
3155 N Union Blvd
Colorado Springs, CO 80907-8703
Phone
(719) 630-3937
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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.0003416 CO Primary

Addresses

Primary practice location

3155 N Union Blvd
Colorado Springs, CO 80907-8703

Mailing address

3155 N Union Blvd
Colorado Springs, CO 80907-8703
Phone (719) 630-3937

Other names 1

  • Dana Janina Reilly Former name

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
I20180919000172 CO Practitioner - Optometry 0648521419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Vision Canon City Prof, LLCGroup PAC ID 9032129705, 2 clinicians
Britt a Buckley MD PCGroup PAC ID 0840267217, 8 clinicians

Practice addresses (Care Compare)

2776 E Main St
Canon City, CO 81212-4010
Phone (719) 275-1523

2776 E Main St
Peak Vision Center
Canon City, CO 81212-3739
Phone (719) 275-1587

3155 N Union Blvd
Colorado SPGS, CO 80907-8703

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003416COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vision Canon City Prof, LLC Optometrist CurrentSince Aug 28, 2018 Accepting new patients
Britt a Buckley MD PC CurrentSince Aug 6, 2018 Accepting new patients

Locations

2776 E Main St
Canon City, CO 81212
Phone (719) 275-1523

3155 N Union Blvd
Colorado Springs, CO 80907
Phone (719) 219-1312

1755 Telstar Dr
Ste 211
Colorado Springs, CO 80920
Phone (719) 630-3937

3954 Sandalwood Ln
Pueblo, CO 81005
Phone (719) 561-2244

4026 Jerry Murphy Rd
Pueblo, CO 81001
Phone (719) 630-3937

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1780160325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078703",
            "telephone_number": "719-630-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078703",
            "telephone_number": "719-630-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "DANA",
        "middle_name": "REILLY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "REILLY",
            "middle_name": "JANINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.