Rafiullah Amini, OD
Individual provider Active NPI Optometrist · Westminster, CO
NPI 1275200883 · NPPES record last updated Aug 23, 2021
Key facts
- NPI
- 1275200883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0003737 (CO)
- Practice address
- 10359 Federal Blvd Ste 100
Westminster, CO 80260-7453 - Phone
- (303) 469-7770
- NPI assigned
- Aug 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221229000811 | CO | Practitioner - Optometry | 8325426836 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0003737 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sowash Optometry Group PC | Optometrist | Current |
Accepting new patients |
| North Park Vision Center, P.C. | Current |
Accepting new patients | |
| Sowash Optometry Group, PC | Optometrist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0003737 | CO | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dramini@northparkvisioncenter.com | Direct |
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.