Active NPI
Dennis Page, O.D.
- Optometrist
- Edwards, CO
National Provider Identifier
1801857289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 859
- Practice address
- 1140 Edwards Village Boulevard
B206
Edwards, CO 81632 - Phone
- (970) 926-8474
- Fax
- (970) 926-3634
- NPI assigned
- Mar 28, 2006
- Last updated
- Oct 8, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 859 | CO | Primary |
Addresses
Primary practice location
1140 Edwards Village Boulevard
B206
Edwards, CO 81632
Mailing address
PO Box 544
Edwards, CO 81632-0544
Phone (970) 926-8474
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 859 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vail Vision PC | Optometrist | Current | Accepting new patients |
| Madison Street Provider Network Inc | Past | Accepting new patients | |
| Lakewood Vision, PLLC | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
dba Omni Eye Specialists
- Ophthalmology Physician
- Brighton, CO
- NPI 1750988994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1801857289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 544",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816320544",
"telephone_number": "970-926-8474",
"fax_number": "970-926-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 EDWARDS VILLAGE BOULEVARD",
"address_2": "B206",
"city": "EDWARDS",
"state": "CO",
"postal_code": "81632",
"telephone_number": "970-926-8474",
"fax_number": "970-926-3634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edwards, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.