Individual provider Active NPI

Maryn Caprice Sturm, O.D.

  • Optometrist
  • Eaton, CO
National Provider Identifier
1942516646
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2768 Issued in CO
Practice address
215 Elm Ave
Eaton, CO 80615-3428
Phone
(970) 454-3387
NPI assigned
Aug 19, 2010
Last updated
Aug 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 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 2768 CO Primary

Addresses

Primary practice location

215 Elm Ave
Eaton, CO 80615-3428

Mailing address

215 Elm Ave
Eaton, CO 80615-3428
Phone (970) 454-3387

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
I20110506000472 CO Practitioner - Optometry 0840475802 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eaton Vision Clinic LLCGroup PAC ID 5496930455, 2 clinicians

Practice addresses (Care Compare)

215 Elm Ave
Eaton, CO 80615-3428
Phone (970) 454-3387

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eaton Vision Clinic LLC Optometrist CurrentSince Dec 1, 2010 Accepting new patients
Vision Clinic of Greeley P C Optometrist CurrentSince Feb 22, 2017 Accepting new patients

Locations

215 Elm Ave
Eaton, CO 80615
Phone (970) 454-3387

2001 46th Ave
Greeley, CO 80634
Phone (970) 330-7070

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1942516646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ELM AVE",
            "city": "EATON",
            "state": "CO",
            "postal_code": "806153428",
            "telephone_number": "970-454-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ELM AVE",
            "city": "EATON",
            "state": "CO",
            "postal_code": "806153428",
            "telephone_number": "970-454-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURM",
        "first_name": "MARYN",
        "middle_name": "CAPRICE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, CO

Sources for this page

Verify at the official NPI Registry.