Alfonso Puzzo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5117 Issued in FL

Practice address

20921 E Smoky Hill Rd Unit B
Centennial, CO 80015-5126

Phone

(303) 942-1370

Fax

(303) 942-1558

NPI assigned

Jul 23, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Eye Care Professional LLCGroup PAC ID 5698911246, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Care Professional LLC

  • Optometrist
  • Centennial, CO
  • NPI 1326399254
  Medicare reassignment Care Compare group NPD
• Jones Eye Care PLLC

  • Optometrist
  • Longmont, CO
  • NPI 1932679362
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1821473422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20921 E SMOKY HILL RD UNIT B",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155126",
            "telephone_number": "303-942-1370",
            "fax_number": "303-942-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20921 E SMOKY HILL RD UNIT B",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155126",
            "telephone_number": "303-942-1370",
            "fax_number": "303-942-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUZZO",
        "first_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-23",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT3245",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000145714",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Christine Puccio, MD
• Pure Potential Therapeutic Services, LLC
• Pure Potential Therapeutic Services, LLC
• Purple Turtle Pediatric Therapy, LLC
• Purple Turtle Pediatric Therapy, LLC
• Yagana Qambari
• Frank Queen
• Taylor Samuel Quenzer, LAT, ATC
• Leslie Quick, PT, DPT
• Amy L Quinn, FNP-C

• Optometrist in Centennial, CO
• Providers in Centennial, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.

Verify at the official NPI Registry.