Individual provider Active NPI

Leroy A. Popowski, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1881673978
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2496 Issued in CO
Practice address
3470 Centennial Blvd
Suite 105
Colorado Springs, CO 80907-4090
Phone
(719) 471-1107
NPI assigned
Jan 17, 2006
Last updated
Aug 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2496 CO Primary

Addresses

Primary practice location

3470 Centennial Blvd
Suite 105
Colorado Springs, CO 80907-4090

Mailing address

3470 Centennial Blvd
Suite 105
Colorado Springs, CO 80907-4090
Phone (719) 471-1107

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
I20080226000684 CO Practitioner - Optometry 0143304394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Vision, P.C.Group PAC ID 1456436021, 2 clinicians

Practice addresses (Care Compare)

4195 Centennial Blvd
Colorado Springs, CO 80907-3767
Phone (719) 471-1107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Vision, P.C. Optometrist CurrentSince Mar 6, 2008 Accepting new patients
Elite Hearing of Colorado Springs Inc PastSince Mar 1, 2020 Accepting new patients

Locations

3470 Centennial Blvd
Ste 105
Colorado Springs, CO 80907
Phone (719) 204-5060

4195 Centennial Blvd
Colorado Springs, CO 80907
Phone (719) 471-1107

Organizations & group practices 2

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1881673978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 CENTENNIAL BLVD",
            "address_2": "SUITE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074090",
            "telephone_number": "719-471-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 CENTENNIAL BLVD",
            "address_2": "SUITE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074090",
            "telephone_number": "719-471-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOWSKI",
        "first_name": "LEROY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.