Organization Active NPI

Denver Eye Surgeons, P.C.

  • Ophthalmology Physician
  • Lakewood, CO
National Provider Identifier
1770567364
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DENVER EYE SURGEONS, P.C.
Practice address
13772 Denver West Pkwy
BLDG#55 Ste#100
Lakewood, CO 80401-3139
Phone
(303) 279-6600
Fax
(303) 279-9140
NPI assigned
Dec 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Authorized official

Name
Ms. Aldean Esmail
Title
Credentailing
Phone
(303) 279-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

13772 Denver West Pkwy
BLDG#55 Ste#100
Lakewood, CO 80401-3139

Mailing address

13772 Denver West Pkwy
BLDG#55 Ste#100
Lakewood, CO 80401-3139
Phone (303) 279-6600

Other identifiers 3

IdentifierTypeStateIssuer
CS9439OtherCORAILROAD MC
04007241MedicaidCO
K2828OtherCOFEDERAL BXBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413000070 CO Part B Supplier - Clinic/Group Practice 6507850559 Receives reassigned benefits from 10 practitioners
Practice locations: Lakewood, CO

National Provider Directory

National Provider Directory

Locations

13772 Denver West Pkwy
#55100
Lakewood, CO 80401

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1770567364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PKWY",
            "address_2": "BLDG#55 STE#100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013139",
            "telephone_number": "303-279-6600",
            "fax_number": "303-279-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PKWY",
            "address_2": "BLDG#55 STE#100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013139",
            "telephone_number": "303-279-6600",
            "fax_number": "303-279-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER EYE SURGEONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "ESMAIL",
        "authorized_official_first_name": "ALDEAN",
        "authorized_official_title_or_position": "CREDENTAILING",
        "authorized_official_telephone_number": "303-279-6600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "CS9439",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04007241",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BXBS",
            "identifier": "K2828",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.