Active NPI
Raza Uddin OD LLC
- Optometrist
- Grand Junction, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- RAZA UDDIN OD LLC
- Practice address
- 611 24 Rd Ste 1
Grand Junction, CO 81505-1240 - Phone
- (970) 242-5412
- NPI assigned
- Nov 5, 2024
- Last updated
- Nov 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raza Uddin, OD
- Title
- Owner
- Phone
- (913) 485-5219
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
611 24 Rd Ste 1
Grand Junction, CO 81505-1240
Mailing address
8239 S Kearney St
Centennial, CO 80112-3002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250106002009 | CO | Part B Supplier - Clinic/Group Practice | 8628506524 |
Receives reassigned benefits from 14 practitioners 1 other NPI on this enrollment Practice locations: Grand Junction, CO; Trinidad, CO |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Raza Uddin OD LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Trinidad, CO
- NPI 1215734181
-
- Optometrist
- Cheyenne, WY
- NPI 1023902061
Locations
611 24 Rd
Ste 1
Grand Junction, CO 81505
Phone (970) 242-5412
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Littleton, CO
- NPI 1063470144
-
- Optometrist
- Centennial, CO
- NPI 1942455670
-
- Optometrist
- Castle Rock, CO
- NPI 1447818869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730764800000",
"number": "1992528368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8239 S KEARNEY ST",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 24 RD STE 1",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051240",
"telephone_number": "970-242-5412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAZA UDDIN OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-05",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "UDDIN",
"authorized_official_first_name": "RAZA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "913-485-5219",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.