Active NPI
Edward Stevenson, D.O.
- Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
- License
- 58524
- Practice address
- 5755 Mark Dabling Blvd Ste 190
Colorado Springs, CO 80919-2228 - Phone
- (719) 257-3959
- Fax
- (719) 257-3959
- NPI assigned
- Jul 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0058524 | CO | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 58524 | CO | |
| Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician | 207WX0108X | 58524 | CO | Primary |
Addresses
Primary practice location
5755 Mark Dabling Blvd Ste 190
Colorado Springs, CO 80919-2228
Mailing address
5755 Mark Dabling Blvd Ste 190
Colorado Springs, CO 80919-2270
Phone (719) 257-3959
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | estevenson@soco.intellechartdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Box Butte General Hospital
Practice addresses (Care Compare)
2101 Box Butte Ave
Alliance, NE 69301-4445
Phone (308) 762-6660
5755 Mark Dabling Blvd
Suite 190
Colorado Springs, CO 80919-2228
Phone (719) 257-3959
Hospital & facility affiliations
- Box Butte General Hospital
- Centura Health-Penrose St Francis Health Services
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 80 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0058524 | CO | MD | Ophthalmology Physician |
| 58524 | CO | MD | Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soco Ophthalmology LLC | Uveitis and Ocular Inflammatory Disease | Current | Accepting new patients |
| Box Butte General Hospital | Current | Accepting new patients | |
| Box Butte General Hospital | Current | Accepting new patients | |
| Simmons Eye Associates | Ophthalmology | Current | Accepting new patients |
| Box Butte General Hospital | Current | Accepting new patients | |
| Soco Ophthalmology LLC | Retina Specialist | Current | Accepting new patients |
| Simmons Eye Associates | Ophthalmology | Current | Accepting new patients |
| Box Butte General Hospital | Current | Accepting new patients | |
| Prohealth Physicians PC | Past | Accepting new patients |
Locations
5755 Mark Dabling Blvd
Ste 190
Colorado Springs, CO 80919
Phone (719) 257-3959
320 E Fontanero St
Ste 201
Colorado Springs, CO 80907
Phone (719) 559-2020
1021 N Market Plz
Ste 110
Pueblo West, CO 81007
Phone (719) 257-3959
2091 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-7244
2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660
2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244
2107 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-2534
Interoperability endpoints
- edward.stevenson@xdr.hhchealthdirect.org
- estevenson@soco.intellechartdirect.net
Organizations & group practices 9
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.
-
- Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
- Colorado Springs, CO
- NPI 1942072194
-
- Ophthalmology Physician
- Colorado Springs, CO
- NPI 1932517869
-
- Critical Access Hospital
- Alliance, NE
- NPI 1811929060
-
- Clinic/Center
- Alliance, NE
- NPI 1871652453
-
- Retina Specialist (Ophthalmology) Physician
- Pueblo, CO
- NPI 1306644463
-
- Critical Access Hospital Clinic/Center
- Alliance, NE
- NPI 1346309929
-
- Rural Health Clinic/Center
- Hemingford, NE
- NPI 1609944388
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
-
- Critical Access Hospital
- Alliance, NE
- NPI 1811929060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1780948893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5755 MARK DABLING BLVD STE 190",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809192270",
"telephone_number": "719-257-3959",
"fax_number": "719-934-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5755 MARK DABLING BLVD STE 190",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809192228",
"telephone_number": "719-257-3959",
"fax_number": "719-257-3959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "EDWARD",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-03",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "0058524",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "CO",
"license": "58524",
"primary": false
},
{
"code": "207WX0108X",
"taxonomy_group": "",
"desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
"state": "CO",
"license": "58524",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "estevenson@soco.intellechartdirect.net",
"affiliation": "N",
"endpointDescription": "Direct Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5755 Mark Dabling Blvd Ste 190",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809192228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.