John Matthew Macdonald, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0003126 Issued in CO

Practice address

1860 Woodmoor Dr Ste 103
Monument, CO 80132-9073

Phone

(719) 488-2042

NPI assigned

Jun 28, 2014

Last updated

Nov 11, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Southern College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monument Vision Clinic PCGroup PAC ID 8628241668, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monument Vision Clinic PC

  • Optometrist
  • Monument, CO
  • NPI 1588967228
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1912312943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 WOODMOOR DR STE 103",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329073",
            "telephone_number": "719-488-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 WOODMOOR DR STE 103",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329073",
            "telephone_number": "719-488-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "JOHN",
        "middle_name": "MATTHEW",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-28",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandra Kay Lovato, B.S.P.T.
• Loving Life Counseling, LLC
• Dara D Lowe, MD
• Erica C Lyons, ATC
• Rebekah Lynn Macaskill, PA
• Manual Edge Physical Therapy Specialists LLC
• Andi Marchant
• Kevin Margarucci, ATC
• Marissa Campbell Rd, LLC
• Ann Louise Marsico, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.