MEDICARE: ARIEYE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician
2	207WX0107X	Retina Specialist (Ophthalmology) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912480716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIEYE, INC

Provider Business Mailing Address
First Line	:	6021 S SYRACUSE WAY STE 102
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-4747
Country	:	US
Telephone Number	:	720-667-3852
Fax Number	:	303-648-6462

Provider Business Practice Location Address
First Line	:	6021 S SYRACUSE WAY STE 102
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-4747
Country	:	US
Telephone Number	:	720-667-3852
Fax Number	:	303-648-6462

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ABED NAMAVARI
Credential	:
Telephone Number	:	720-830-2855

Provider Enumeration Date	:	09/08/2018
Last Update Date	:	05/12/2021

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