Amrita K Dhaliwal, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0003283 Issued in CO

Practice address

10001 Washington St
Thornton, CO 80229-2050

Phone

(303) 451-8075

Fax

(303) 457-9859

NPI assigned

Sep 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MN, CO2 enrollments

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 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2003

Medicare assignment

May accept Medicare assignment

Group practices

Family First Vision Care Colorado LLCGroup PAC ID 4183983539, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amrita.dhaliwal.p5@direct.inlandeyespecialists.nextgenshare.com

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.

• Family First Vision Care Colorado LLC

  • Optometrist
  • Aurora, CO
  • NPI 1952827750
  Medicare reassignment Care Compare group NPD
• Colorado Eye Center, LLC

  dba Great Vision Eye Care

  • Optometrist
  • Broomfield, CO
  • NPI 1366516825
  Medicare reassignment NPD
• Minnesota Optical LLC

  dba dba Pearle Vision

  • Optometrist
  • Elk River, MN
  • NPI 1831303437
  Medicare reassignment NPD
• Sowash Optometry Group PC

  dba VisionWorks

  • Optometrist
  • Lakewood, CO
  • NPI 1336172055
  Medicare reassignment
• Colorado Eye Center, LLC

  • Optometrist
  • Thornton, CO
  • NPI 1659495810
  NPD
• Colorado Eye Center, LLC

  • Durable Medical Equipment & Medical Supplies
  • Denver, CO
  • NPI 1912374653

  Optometrist

  NPD
• Minnesota Optical LLC

  dba Pearle Vision

  • Eyewear Supplier
  • Edina, MN
  • NPI 1962829580
  NPD

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902908791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 E SPEER BLVD APT 634",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033576",
            "telephone_number": "612-232-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292050",
            "telephone_number": "303-451-8075",
            "fax_number": "303-457-9859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Hazelton Rd",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354204",
            "country_code": "US",
            "telephone_number": "952-926-6149",
            "fax_number": "952-926-2729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "AMRITA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "1044035",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA/UNITED HEALTH CARE",
            "identifier": "2203199",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/MN",
            "identifier": "183M2PE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799167300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MN3006",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "185171045937",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Desormier, P.T., D.P.T., ATC
• Jennifer Anne Dessel, AU.D.
• Geoffroy Destenaves, DMD
• Developmental Behavioral Health, Inc. (Developmental Behavioral Home Health)
• Todd C Dextradeur, MD
• Bintou Diallo
• Alexia Diaz
• Rosalinda Diaz, NP
• Katherine Dicamillo
• Treydon Damon Dickson, RBT

• Optometrist in Thornton, CO
• Providers in Thornton, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.