Individual provider Active NPI

Jennifer M Grin, M.D.

  • Ophthalmology Physician
  • Aurora, CO
National Provider Identifier
1760412266
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
39395 Issued in CO
Practice address
1411 S Potomac St
Suite #140
Aurora, CO 80012-4536
Phone
(303) 337-3937
Fax
(303) 337-2272
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 39395 CO Primary

Addresses

Primary practice location

1411 S Potomac St
Suite #140
Aurora, CO 80012-4536

Mailing address

1421 S Potomac St Ste 130
Aurora, CO 80012-4511
Phone (303) 337-3937

Other identifiers 1

IdentifierTypeStateIssuer
18739822MedicaidCO

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506000891 CO Practitioner - Ophthalmology 2567450711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39395COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Ophthalmology Associates PC PastSince Dec 7, 2025 Accepting new patients
Colorado Ophthalmology Associates PC PastSince Sep 1, 2024 Accepting new patients
Trauma and Emergency Subspecialty Surgeons PLLC Past Accepting new patients

Organizations & group practices 3

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1760412266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST STE 130",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124511",
            "telephone_number": "303-337-3937",
            "fax_number": "303-337-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST",
            "address_2": "SUITE #140",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124536",
            "telephone_number": "303-337-3937",
            "fax_number": "303-337-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "39395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18739822",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.