Provider Demographics
NPI:1912480716
Name:ARIEYE, INC
Entity type:Organization
Organization Name:ARIEYE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ABED
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMAVARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-830-2855
Mailing Address - Street 1:6021 S SYRACUSE WAY STE 102
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4747
Mailing Address - Country:US
Mailing Address - Phone:720-667-3852
Mailing Address - Fax:303-648-6462
Practice Address - Street 1:6021 S SYRACUSE WAY STE 102
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4747
Practice Address - Country:US
Practice Address - Phone:720-667-3852
Practice Address - Fax:303-648-6462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-08
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000169744Medicaid