DR. FRED SIMON (NPI# 1700212412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700212412 |
| Entity Type | Individual |
| Full Name | DR. FRED SIMON |
| Credential | M.D. |
| Practice Address |
1564 Steamboat Ct Evergreen CO 80439-9561 |
| Practice Telephone | 3036703120 |
| Practice Fax Number | 3036703156 |
| Mailing Telephone | 3036703120 |
| Mailing Fax Number | 3036703156 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | E8176 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 131581402 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023216694 | Fred Simon | Family Medicine | 62917 Peach Rd, Montrose, CO 81401-9124 | 2007-07-05 |
| 1568525566 | Fred Joseph Simon Jr. | Surgery | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2006-12-19 |
| 1437145919 | Fred L Simon | Surgery | 4665 S Congress Ave, Suite 100, Lake Worth, FL 33461-4754 | 2005-09-21 |
| 1407840952 | Fred A Simon Jr. | Obstetrics & Gynecology | 1111 Lighthouse Lane, Goshen, IN 46526-3824 | 2005-09-09 |
| Street Address |
1564 STEAMBOAT CT |
| City | EVERGREEN |
| State | CO |
| Zip Code | 80439-9561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386134351 | Mary Elizabeth Pruet | Speech-Language Pathologist | 26284 Grand Summit Trl, Evergreen, CO 80439 | 2018-05-15 |
| 1821511031 | Marie Ann St. Denis | Acupuncturist | 27919 Alabraska Lane, Evergreen, CO 80439 | 2017-07-19 |
| 1285173203 | Natalie Mannon Ibrahim | Physician Assistant | 30940 Stagecoach Blvd, Ste E290, Elk Ridge Family Physicians, Inc, Evergreen, CO 80439 | 2017-02-23 |
| 1801330923 | Leah Black | Dietitian, Registered | 2952 Conifer Circle, Evergreen, CO 80439 | 2016-12-08 |
| 1831640291 | Bear Creek Mental Health LLC | Community/Behavioral Health | 4911 Plettner Ln, Ste 210, Evergreen, CO 80439 | 2016-10-20 |
| 1164971974 | Animal-assisted Therapy of The Mountain Communities | Counselor | 28000 Meadow Dr Suite 105, Evergreen, CO 80439 | 2016-09-22 |
| 1093191793 | Jennifer Schreiber | Occupational Therapist | 1659 Stoneham Lane, Evergreen, CO 80439 | 2015-08-04 |
| 1366879371 | Victoria Carleen Bown | Physical Therapist | 32003 Ellingwood Trail, Evergreen, CO 80439 | 2013-10-04 |
| 1235563867 | Sharon Bland Morgan | Registered Nurse | 5435 So. Twinspruce Rd., Evergreen, CO 80439 | 2013-08-30 |
| 1720429129 | Lorna Mary Cochrane | Behavioral Analyst | 7345 Heiter Hill Dr., Evergreen, CO 80439 | 2013-07-13 |
| Find all providers in zip 80439 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730134537 | Douglas R Pechette | Ophthalmology | 28000 Meadow Dr, #1, Evergreen, CO 80439-8395 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988994 | Madison Street Provider Network Inc | Ophthalmology | 606 South 4th Ave, Marchus Chiropractic Medical Office, Brighton, CO 80601-3202 | 2020-10-01 |
| 1831714237 | Retina Consultants of Southern Colorado P C | Ophthalmology | 10035 Pearl Pass View, Suite 110, Colorado Springs, CO 80924 | 2020-06-11 |
| 1609498906 | Simmons Eye Associates | Ophthalmology | 5278 N Nevada Ave Ste 120, Colorado Springs, CO 80918-8720 | 2020-05-11 |
| 1861038861 | Hca-healthone, LLC | Ophthalmology | 4999 E Kentucky Ave Ste 101, Denver, CO 80246-2280 | 2019-11-25 |
| 1396389680 | Retina Consultants of Southern Colorado P C | Ophthalmology | 3691 Parker Blvd Ste 101, Pueblo, CO 81008-2278 | 2019-10-30 |
| 1316501406 | Michael Solomon Do LLC | Ophthalmology | 1601 E 19th Ave Ste 3450, Denver, CO 80218-1219 | 2019-04-24 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1710474143 | Jill Kathryn Carroll | Ophthalmology | 10 Canyon Cedar, Littleton, CO 80127-3531 | 2018-04-20 |
| 1093262024 | Laser Vision of Fort Collins | Ophthalmology | 3617 S College Ave Unit C, Fort Collins, CO 80525-3009 | 2016-09-07 |
| 1780077685 | Roger Leon Jorgensen | Ophthalmology | 14222 N 95 Si, Longmont, CO 80504 | 2015-03-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.