Individual provider Active NPI

Edward Stevenson, D.O.

  • Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
  • Colorado Springs, CO
National Provider Identifier
1780948893
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianTaxonomy code 207WX0108X
License
58524 Issued in CO
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

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address estevenson@soco.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170807003342 CO Practitioner - Ophthalmology 1254566656 Reassigns benefits to 2 organizations
I20241113003856 NE Practitioner - Ophthalmology 1254566656 Reassigns benefits to 2 organizations

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 HospitalGroup PAC ID 9638089584, shared by 7 NPIs, 60 clinicians

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 Hospital, Alliance, NE, CCN 281360
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery80

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0058524COMDOphthalmology Physician
58524COMDUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soco Ophthalmology LLC Uveitis and Ocular Inflammatory Disease CurrentSince Mar 1, 2024 Accepting new patients
Box Butte General Hospital CurrentSince Sep 1, 2025 Accepting new patients
Box Butte General Hospital CurrentSince Sep 1, 2025 Accepting new patients
Simmons Eye Associates Ophthalmology CurrentSince Feb 1, 2022 Accepting new patients
Box Butte General Hospital Current Accepting new patients
Soco Ophthalmology LLC Retina Specialist CurrentSince Mar 11, 2025 Accepting new patients
Simmons Eye Associates Ophthalmology CurrentSince Feb 1, 2022 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

  • Direct secure messaging: edward.stevenson@xdr.hhchealthdirect.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.