Creekside Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CREEKSIDE EYECARE

Practice address

5071 Kipling St
Wheat Ridge, CO 80033-2251

Phone

(303) 810-4375

NPI assigned

Mar 31, 2023

Last updated

Mar 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ali Jalili Fazel, ODNPI 1962126441

Title

Optometrist

Phone

(303) 810-4375

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ali Jalili Fazel, OD

  • Optometrist
  • Denver, CO
  • NPI 1962126441
  NPD Authorized official

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1023713955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 S MONACO ST UNIT 5002",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373519",
            "telephone_number": "303-810-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5071 KIPLING ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332251",
            "telephone_number": "303-810-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "JALILI FAZEL",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "303-810-4375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Alan Cranny, P.T.
• Sandra Lee Cranny, P.T.
• Richard Elliott Craven, APRN
• Brittany Crawford, MA, LPCC, TLLP
• Susan M Crawford, M.A, LPC
• Watson Avery Crenshaw
• Franshawn Croft
• Jamie V Lyn Cross
• Naomi L Cross
• Croswaite Counseling, PLLC

• Optometrist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.