Individual provider Active NPI

Shadaanan Singh

  • Optometrist
  • Northglenn, CO
National Provider Identifier
1417632597
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003935 Issued in CO
Practice address
421 W 104TH Ave Ste J
Northglenn, CO 80234-4139
Phone
(720) 502-3060
Fax
(720) 502-3072
NPI assigned
Jun 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003935 CO Primary

Addresses

Primary practice location

421 W 104TH Ave Ste J
Northglenn, CO 80234-4139

Mailing address

2876 W 53Rd Ave Unit 125
Denver, CO 80221-6640
Phone (407) 968-4928

Other practice location 1

8850 Ralston Rd Ste 202
Arvada, CO 80002-2248
Phone (720) 770-1272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003935COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
America'S Best Contacts & Eyeglasses CurrentSince Jun 29, 2025 Accepting new patients

Locations

421 W 104th Ave
Ste J
Northglenn, CO 80234
Phone (720) 502-3060

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": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1417632597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 W 53RD AVE UNIT 125",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802216640",
            "telephone_number": "407-968-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W 104TH AVE STE J",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344139",
            "telephone_number": "720-502-3060",
            "fax_number": "720-502-3072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8850 Ralston Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800022248",
            "country_code": "US",
            "telephone_number": "720-770-1272",
            "fax_number": "720-303-2946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "SHADAANAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-16",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.