Healthcare Provider Details

I. General information

NPI: 1780593285
Provider Name (Legal Business Name): OPTICAL MASTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 S MONACO PKWY UNIT 2B
DENVER CO
80224-3704
US

IV. Provider business mailing address

820 S MONACO PKWY UNIT 2B
DENVER CO
80224-3704
US

V. Phone/Fax

Practice location:
  • Phone: 303-377-0752
  • Fax: 303-321-4113
Mailing address:
  • Phone: 303-377-0752
  • Fax: 303-321-4113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: MR. NIMA VAGHEDI
Title or Position: OWNER
Credential:
Phone: 303-808-0752