Individual provider Active NPI

Jason Sider, O.D.

  • Optometrist
  • Aurora, CO
National Provider Identifier
1932535481
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.003294 Issued in CO
Practice address
1400 S Havana St
Aurora, CO 80012-4014
Phone
(303) 481-3631
NPI assigned
Sep 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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.003294 CO Primary

Addresses

Primary practice location

1400 S Havana St
Aurora, CO 80012-4014

Mailing address

7906 E Fremont Ave
Centennial, CO 80112-1823
Phone (561) 236-9347

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.003294COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Insider Vision LLC Optometrist Current Accepting new patients

Locations

1400 S Havana St
Aurora, CO 80012
Phone (303) 481-3631

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1932535481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7906 E FREMONT AVE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121823",
            "telephone_number": "561-236-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S HAVANA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124014",
            "telephone_number": "303-481-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDER",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-16",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.003294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.