Individual provider Active NPI

John Charles Cross, O.D.

  • Optometrist
  • Arvada, CO
National Provider Identifier
1922061670
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1120 Issued in CO
Practice address
5801 Wadsworth Blvd
Arvada, CO 80003-5421
Phone
(303) 422-3817
Fax
(303) 423-6317
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1120 CO Primary

Addresses

Primary practice location

5801 Wadsworth Blvd
Arvada, CO 80003-5421

Mailing address

5801 Wadsworth Blvd
Arvada, CO 80003-5421
Phone (303) 422-3817

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
I20100803001298 CO Practitioner - Optometry 0840187977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Northern Colorado PCGroup PAC ID 5496644841, 67 clinicians

Practice addresses (Care Compare)

2555 E 13TH St
Suite 225
Loveland, CO 80537-5133
Phone (970) 679-0000

5801 Wadsworth Blvd
Arvada, CO 80003-5421
Phone (303) 422-3817

Merit-based Incentive Payment System (MIPS)

Final score
91.23 of 100Reported as group
Quality
84.06
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1120COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of Northern Colorado, P.C. CurrentSince Dec 1, 2021 Accepting new patients
Eye Center of Northern Colorado, P.C. Optometrist Past Accepting new patients

Locations

5801 Wadsworth Blvd
Arvada, CO 80003
Phone (303) 422-3817

2555 E 13th St
Ste 225
Loveland, CO 80537
Phone (970) 221-2222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1922061670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 WADSWORTH BLVD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800035421",
            "telephone_number": "303-422-3817",
            "fax_number": "303-422-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 WADSWORTH BLVD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800035421",
            "telephone_number": "303-422-3817",
            "fax_number": "303-423-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.