Active NPI
Denver Retina Center PC
- Ophthalmology Physician
- Denver, CO
National Provider Identifier
1164608261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 43717
- Legal business name
- DENVER RETINA CENTER PC
- Practice address
- 4500 Cherry Creek Dr. S
Suite 102
Denver, CO 80246 - Phone
- (303) 220-0393
- Fax
- (303) 740-5865
- NPI assigned
- Jan 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diana Reeves
- Title
- Owner
- Phone
- (303) 886-6282
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 43717 | CO | Primary |
Addresses
Primary practice location
4500 Cherry Creek Dr. S
Suite 102
Denver, CO 80246
Mailing address
PO Box 461009
Denver, CO 80246-5009
Phone (303) 220-0393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4500 E Cherry Creek South Dr
Ste 102
Denver, CO 80246
Phone (303) 220-0393
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Retina Specialist (Ophthalmology) Physician
- Denver, CO
- NPI 1386625044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299715200000",
"number": "1164608261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 461009",
"city": "DENVER",
"state": "CO",
"postal_code": "802465009",
"telephone_number": "303-220-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 CHERRY CREEK DR. S",
"address_2": "SUITE 102",
"city": "DENVER",
"state": "CO",
"postal_code": "80246",
"telephone_number": "303-220-0393",
"fax_number": "303-740-5865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENVER RETINA CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-18",
"last_updated": "2011-03-10",
"status": "A",
"authorized_official_last_name": "REEVES",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-886-6282",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CO",
"license": "43717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.