Individual provider Active NPI

Robert D McQuaid, O.D.

  • Optometrist
  • Centennial, CO
National Provider Identifier
1386627693
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1408 Issued in CO
Practice address
14000 E Arapahoe Rd
Suite 100
Centennial, CO 80112-4043
Phone
(303) 699-3107
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1408 CO Primary

Addresses

Primary practice location

14000 E Arapahoe Rd
Suite 100
Centennial, CO 80112-4043

Mailing address

12047 E Amherst PL
Aurora, CO 80014-3101
Phone (303) 368-8485

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
I20040412000446 CO Practitioner - Optometry 8123012382 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1408COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Front Range Family Eyecare Optometrist CurrentSince Mar 31, 2019 Accepting new patients

Locations

4920 S Yosemite St
Ste C5
Greenwood Village, CO 80111
Phone (303) 220-5100

9045 Forsstrom Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 858-8474

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1386627693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12047 E AMHERST PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143101",
            "telephone_number": "303-368-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 E ARAPAHOE RD",
            "address_2": "SUITE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124043",
            "telephone_number": "303-699-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUAID",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.