Individual provider Active NPI

George W Tull Jr., OD

  • Optometrist
  • Grand Junction, CO
National Provider Identifier
1922006436
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CO1426 Issued in CO
Practice address
2232 N 7TH St
Suite 10
Grand Junction, CO 81501-7459
Phone
(970) 242-4909
Fax
(970) 243-7171
NPI assigned
Jul 8, 2005
Reactivated
Mar 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 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 CO1426 CO Primary

Addresses

Primary practice location

2232 N 7TH St
Suite 10
Grand Junction, CO 81501-7459

Mailing address

2232 N 7TH St
Suite 10
Grand Junction, CO 81501-7459
Phone (970) 242-4909

Other identifiers 2

IdentifierTypeStateIssuer
08014268MedicaidCO
0729640001OtherCOPALMETTO

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
I20080116000751 CO Practitioner - Optometry 0042391914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Vision Center, Inc.Group PAC ID 1456395359, 6 clinicians

Practice addresses (Care Compare)

950 N Ave
Suite 106
Grand Junction, CO 81501-7641
Phone (970) 242-0222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO1426COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Vision Center, Inc. CurrentSince Jul 5, 2017 Accepting new patients

Locations

950 North Ave
Ste 106
Grand Junction, CO 81501
Phone (970) 242-0222

362 Main St
Grand Junction, CO 81501
Phone (970) 245-6688

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1922006436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 N 7TH ST",
            "address_2": "SUITE 10",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017459",
            "telephone_number": "970-242-4909",
            "fax_number": "970-243-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 N 7TH ST",
            "address_2": "SUITE 10",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017459",
            "telephone_number": "970-242-4909",
            "fax_number": "970-243-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULL",
        "first_name": "GEORGE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-10-18",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO1426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08014268",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "0729640001",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.