Individual provider Active NPI

Caleb James Schoonover, O.D.

  • Optometrist
  • Greeley, CO
National Provider Identifier
1851581706
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2608 Issued in CO
Practice address
2155 Greeley Mall Ste B
Greeley, CO 80631-8540
Phone
(970) 356-1161
Fax
(970) 356-2760
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2608 CO Primary

Addresses

Primary practice location

2155 Greeley Mall Ste B
Greeley, CO 80631-8540

Mailing address

2105 Bighorn Rd
Suite 104
Fort Collins, CO 80525-3555
Phone (970) 391-0639

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000268 CO Practitioner - Optometry 6709970809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Family Vision, PCGroup PAC ID 9537206594, 4 clinicians

Practice addresses (Care Compare)

2105 Bighorn Rd
Suite 104
Fort Collins, CO 80525-3578

3609 S Timberline Rd
Unit B
Fort Collins, CO 80525-3430
Phone (970) 377-0005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2608COMDMental Health Counselor

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1851581706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BIGHORN RD",
            "address_2": "SUITE 104",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253555",
            "telephone_number": "970-391-0639",
            "fax_number": "970-377-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 GREELEY MALL STE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806318540",
            "telephone_number": "970-356-1161",
            "fax_number": "970-356-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOONOVER",
        "first_name": "CALEB",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.