Individual provider Active NPI

Eddy Moussa Najjar, O.D.

  • Optometrist
  • Centennial, CO
National Provider Identifier
1457591786
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1971 Issued in CO
Practice address
7500 S University Blvd
Suite 104
Centennial, CO 80122-3194
Phone
(303) 840-4440
NPI assigned
Feb 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1971 CO Primary

Addresses

Primary practice location

7500 S University Blvd
Suite 104
Centennial, CO 80122-3194

Mailing address

7500 S University Blvd
Suite 104
Centennial, CO 80122-3194
Phone (303) 840-4440

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
I20110511000409 CO Practitioner - Optometry 7012193980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7500 S University Blvd
Suite 104
Centennial, CO 80122-3168
Phone (720) 389-8023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1971COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Vision Eyecare PLLC Optometrist CurrentSince Nov 1, 2010 Accepting new patients

Locations

7500 S University Blvd
Ste 104
Centennial, CO 80122
Phone (303) 840-4440

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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1457591786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 S UNIVERSITY BLVD",
            "address_2": "SUITE 104",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223194",
            "telephone_number": "303-840-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 S UNIVERSITY BLVD",
            "address_2": "SUITE 104",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223194",
            "telephone_number": "303-840-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJJAR",
        "first_name": "EDDY",
        "middle_name": "MOUSSA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.