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
- 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
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
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- 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.