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DR. DALE ALLEN KNUDSON O.D.
NPI 1063645877
Optometrist in Pueblo, CO

Active since August 27, 2009PECOS Enrolled
900 INDIANA AVE, SUITE # D, PUEBLO, CO 81004(719) 561-2812 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dale Allen Knudson O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DALE ALLEN KNUDSON O.D. (NPI 1063645877) is an individual optometrist in Pueblo, Colorado, licensed in Colorado (2743) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063645877
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DALE ALLEN KNUDSONCredential: O.D.
Location Address900 INDIANA AVE, SUITE # DPueblo, CO 81004-3766
Mailing Address385 W Coral DrPueblo West, CO 81007-7529 · (503) 330-6942
Phone(719) 561-2812
Sole ProprietorNo
Enumeration DateAugust 27, 2009
✔ NPI 1063645877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CO · 2743
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
900 INDIANA AVE, Pueblo, CO 81004
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dale Allen Knudson O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE BOGGS FNP-BC
Nurse Practitioner (Family)
900 INDIANA AVE
PUEBLO, CO 81004
Pueblo County (719) 924-9021
ANNA M. MARTINEZ PLLC
Clinic/Center (Primary Care)
900 INDIANA AVE, SUITE B
PUEBLO, CO 81004
Pueblo County (719) 924-9128
PUEBLO PEDIATRICS, LLC
Pediatrics
900 INDIANA AVE, SUITE D
PUEBLO, CO 81004
Pueblo County (719) 404-3672
BETTY ANNE ESQUIBEL NP
Nurse Practitioner
900 INDIANA AVE, SUITE C
PUEBLO, CO 81004
Pueblo County (719) 561-2289
FAMILY MEDICINE OF PUEBLO PLLC
Family Medicine
900 INDIANA AVE, SUITE C
PUEBLO, CO 81004
Pueblo County (719) 561-2289

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Knudson's NPI number?

The NPI number for Dale Knudson is 1063645877. It was assigned to this individual provider in the NPPES registry on August 27, 2009.

Where is Dale Knudson located?

Dale Knudson practices at 900 Indiana Ave Suite # D, Pueblo, CO 81004. The listed phone number is (719) 561-2812.

What is Dale Knudson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dale Knudson enrolled in Medicare?

Yes. Dale Knudson is registered in the Medicare PECOS enrollment system.

What insurance does Dale Knudson accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Dale Knudson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dale Knudson was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.