Individual provider Active NPI

Gerald Edward Meltzer, M.D.

  • Ophthalmology Physician
  • Lone Tree, CO
National Provider Identifier
1881768133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17232 Issued in CO
Practice address
10108 Longview Dr
Lone Tree, CO 80124-9764
Phone
(303) 799-1018
Fax
(720) 596-5086
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 17232 CO Primary

Addresses

Primary practice location

10108 Longview Dr
Lone Tree, CO 80124-9764

Mailing address

10108 Longview Dr
Lone Tree, CO 80124-9764
Phone (303) 799-1018

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140429002152 CO Order and Referring Only - OphthalmologyPractitioner - Ophthalmology 6002049988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17232COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverhill Ophthalmology, P.a. Ophthalmology Current Accepting new patients

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881768133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10108 LONGVIEW DR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801249764",
            "telephone_number": "303-799-1018",
            "fax_number": "720-596-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10108 LONGVIEW DR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801249764",
            "telephone_number": "303-799-1018",
            "fax_number": "720-596-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTZER",
        "first_name": "GERALD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "17232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.