Individual provider Active NPI

Gretchen Arneson, OD

  • Optometrist
  • Durango, CO
National Provider Identifier
1942722962
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3349 Issued in CO
Practice address
2855 Main Ave Ste A103
Durango, CO 81301-5959
Phone
(970) 382-8790
NPI assigned
Jul 11, 2017
Last updated
Dec 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 347735 WI
Optometrist 152W00000X 3349 CO Primary

Addresses

Primary practice location

2855 Main Ave Ste A103
Durango, CO 81301-5959

Mailing address

2855 Main Ave Ste A103
Durango, CO 81301-5959
Phone (970) 382-8790

Other practice location 1

N89W16785 Appleton Ave
Menomonee Falls, WI 53051-2071
Phone (262) 253-4000

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
I20180606000186 CO Practitioner - Optometry 2163793332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Envision Durango LLCGroup PAC ID 7416191002, 2 clinicians

Practice addresses (Care Compare)

2855 Main Ave
A103
Durango, CO 81301-5956

2855 N Main
Suite A103
Durango, CO 81301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3349COMDCounseling Psychologist
347735WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Durango LLC Optometrist CurrentSince Apr 25, 2018 Accepting new patients

Locations

2855 Main Ave
Ste A103
Durango, CO 81301
Phone (970) 382-8790

2977 Main Ave
Ste A
Durango, CO 81301
Phone (970) 382-8790

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, 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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1942722962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 MAIN AVE STE A103",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015959",
            "telephone_number": "970-382-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 MAIN AVE STE A103",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015959",
            "telephone_number": "970-382-8790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N89W16785 Appleton Ave",
            "address_purpose": "LOCATION",
            "city": "Menomonee Falls",
            "state": "WI",
            "postal_code": "530512071",
            "country_code": "US",
            "telephone_number": "262-253-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNESON",
        "first_name": "GRETCHEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "347735",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.