Individual provider Active NPI

Alison C. House, OD

  • Optometrist
  • Pueblo, CO
National Provider Identifier
1821168790
Registry record updated Feb 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1360 Issued in CO
Practice address
1821 Fortino Blvd
Pueblo, CO 81008-1892
Phone
(719) 583-0344
Fax
(719) 583-2806
NPI assigned
Nov 8, 2006
Last updated
Feb 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1360 CO Primary

Addresses

Primary practice location

1821 Fortino Blvd
Pueblo, CO 81008-1892

Mailing address

1821 Fortino Blvd
Pueblo, CO 81008-1892
Phone (719) 583-0344

Other identifiers 2

IdentifierTypeStateIssuer
312420OtherCOCORP. NPI - PTAN
312421YUSYOtherCOPERSONAL NPI - PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050926000918 CO Practitioner - Optometry 8426082710 Reassigns benefits to 1 organization
O20100930015687 CO DME Supplier - Physician - Optometrist 7113048034 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pueblo, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1821 Fortino Blvd
Suite B
Pueblo, CO 81008-1893
Phone (719) 583-0344

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1360COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alison C. House, O.D., PC Optometrist CurrentSince Feb 9, 2004 Accepting new patients

Locations

1821 Fortino Blvd
Ste B
Pueblo, CO 81008
Phone (719) 583-0344

1821 Fortino Blvd
Pueblo, CO 81008
Phone (719) 543-8109

Organizations & group practices 1

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424476800000",
    "number": "1821168790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 FORTINO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081892",
            "telephone_number": "719-583-0344",
            "fax_number": "719-583-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 FORTINO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081892",
            "telephone_number": "719-583-0344",
            "fax_number": "719-583-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "ALISON",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORP. NPI - PTAN",
            "identifier": "312420",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI - PTAN",
            "identifier": "312421YUSY",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.