Individual provider Active NPI

Neil Wilford McAllister, OD

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1932209897
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1407 Issued in CO
Practice address
6160 Tutt Blvd 220
Colorado Springs, CO 80923-3502
Phone
(719) 598-5068
Fax
(719) 598-5068
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1407 CO Primary

Addresses

Primary practice location

6160 Tutt Blvd 220
Colorado Springs, CO 80923-3502

Mailing address

6160 Tutt Blvd 220
Colorado Springs, CO 80923-3502
Phone (719) 598-5068

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
I20050303000529 CO Practitioner - Optometry 6305899329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil W McAllister OD PCGroup PAC ID 4688627607, 2 clinicians

Practice addresses (Care Compare)

6160 Tutt Blvd
Suite 220
Colorado Springs, CO 80923-3502
Phone (719) 598-5068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1407COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neil W McAllister OD PC Optometrist CurrentSince Jan 1, 2005 Accepting new patients

Locations

750 Citadel Dr E
Ste 2300
Colorado Springs, CO 80909
Phone (719) 596-1645

6160 Tutt Blvd
Ste 220
Colorado Springs, CO 80923
Phone (719) 598-5068

1710 Briargate Blvd
Ste 485
Colorado Springs, CO 80920
Phone (719) 266-8473

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1932209897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233502",
            "telephone_number": "719-598-5068",
            "fax_number": "719-598-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233502",
            "telephone_number": "719-598-5068",
            "fax_number": "719-598-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "NEIL",
        "middle_name": "WILFORD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.