Ali Jalili Fazel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0003844 Issued in CO

Practice address

4380 S Monaco St Unit 5002
Denver, CO 80237-3519

Phone

(303) 810-4375

NPI assigned

Sep 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Creekside Eyecare

  • Optometrist
  • Wheat Ridge, CO
  • NPI 1023713955
  NPD Authorized official

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1962126441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 S MONACO ST UNIT 5002",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373519",
            "telephone_number": "303-810-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 S MONACO ST UNIT 5002",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373519",
            "telephone_number": "303-810-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALILI FAZEL",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sudy Elizabeth Jahangiri, MD
• Eric M Jahde, DDS
• Laura Karen Jahnke, BA
• Amanda Jaikel, R.N., N.P.
• Bhushali Jain
• Farbod Jalili Fazel, D.D.S
• Soraya Jallad
• Ahmed Abdi Jama, OWNER
• James Chappell MD PC
• James Cole Abrams, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.