ICON Eyecare – Ophthalmology Physician, NPI 1316109481
Ophthalmology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ICON Eyecare
1421 S Potomac St Ste 130
Aurora, CO 800124511
Phone: (303) 337-3937
Type: Location
PO BOX 200426
DALLAS, TX 753200426
Phone: (720) 524-1001
Fax: (720) 524-1121
Type: Mailing
Denver Centerpoint I, 3900, East Mexico Avenue, Denver, Denver County, Colorado, 80210, United States
SUITE 102
DENVER, CO 802103940
Phone: (720) 524-1001
Fax: (720) 524-1121
Type: Mailing
500 W 144th Ave Ste 110
Westminster, CO 800239326
Phone: (303) 428-9696
Type: Location
1190 Bookcliff Ave Unit 102
Grand Junction, CO 815018159
Phone: (970) 242-2232
Fax: (970) 242-8774
Type: Location
10520 El Diente Ct Ste A
Englewood, CO 801122656
Phone: (720) 524-1001
Fax: (720) 524-1121
Type: Location
350 Indiana St Ste 220
Golden, CO 804015095
Phone: (720) 524-1001
Fax: (720) 524-1121
Type: Location
2515 Foresight Cir Unit 220
Grand Junction, CO 815051156
Phone: (970) 256-0400
Fax: (970) 837-7106
Type: Location
100 Elk Run Dr Ste 206
Basalt, CO 816219241
Phone: (970) 256-0400
Fax: (970) 927-5108
Type: Location
1000 Wellington Ave Ste A
Grand Junction, CO 815018180
Phone: (970) 256-0400
Fax: (970) 256-9149
Type: Location
East Mexico Avenue, Denver, Denver County, Colorado, 80201, United States
DENVER, CO 802103941
Phone: (720) 524-1001
Fax: (720) 524-1121
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040205001077 | O | Clinic/Group Practice | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80012)
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