Individual provider Active NPI

Rafiullah Amini, OD

  • Optometrist
  • Westminster, CO
National Provider Identifier
1275200883
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003737 Issued in CO
Practice address
10359 Federal Blvd Ste 100
Westminster, CO 80260-7453
Phone
(303) 469-7770
NPI assigned
Aug 23, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003737 CO Primary

Addresses

Primary practice location

10359 Federal Blvd Ste 100
Westminster, CO 80260-7453

Mailing address

1145 S Broadway Unit 301
Denver, CO 80210-1665
Phone (402) 707-7668

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dramini@northparkvisioncenter.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221229000811 CO Practitioner - Optometry 8325426836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003737COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sowash Optometry Group PC Optometrist CurrentSince Nov 9, 2022 Accepting new patients
North Park Vision Center, P.C. CurrentSince Aug 29, 2021 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Nov 9, 2022 Accepting new patients
Sowash Optometry Group PC Past Accepting new patients

Locations

7305 E 35th Ave
Unit 180
Denver, CO 80238
Phone (303) 320-0222

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

10359 Federal Blvd
Ste 100
Westminster, CO 80260
Phone (303) 428-7231

Interoperability endpoints

  • Direct secure messaging: dramini@northparkvisioncenter.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1275200883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S BROADWAY UNIT 301",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101665",
            "telephone_number": "402-707-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10359 FEDERAL BLVD STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802607453",
            "telephone_number": "303-469-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINI",
        "first_name": "RAFIULLAH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dramini@northparkvisioncenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10359 Federal Blvd Ste 100",
            "city": "Westminster",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802607453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.