1. Home
  2. Directory
  3. Colorado
  4. Denver
  5. Clinic Center
  6. NPI Profile

COLORADO RETINA ASSOCIATES, PLLC
NPI 1508435967
Clinic/Center - Medical Specialty in Denver, CO

Active since June 21, 2021
3401 QUEBEC ST # 105, DENVER, CO 80207(303) 261-1600(303) 261-1601 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2021, Aug 11, 2021, Jun 21, 2021 (3 updates tracked since 2021).

About Colorado Retina Associates, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLORADO RETINA ASSOCIATES, PLLC (NPI 1508435967), doing business as Colorado Retina Associates, Pc, is a healthcare organization registered as a medical specialty in Denver, Colorado and active in the NPI registry since June 2021. The organization lists Kylie Wakasugi, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1508435967
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCOLORADO RETINA ASSOCIATES, PLLC
Location Address3401 QUEBEC ST # 105Denver, CO 80207-2322
Mailing AddressPo Box 17949Denver, CO 80217-0949 · (303) 261-1600 · Fax (303) 261-1600
Phone(303) 261-1600
Fax(303) 261-1601
Organization SubpartYes
Authorized OfficialKylie WakasugiCredentialing Specialist · (303) 261-1600
Enumeration DateJune 21, 2021
Last NPPES UpdateNovember 16, 20213 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
✔ NPI 1508435967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X
3401 QUEBEC ST # 105, Denver, CO 80207
Open in Google Maps ↗

Other Names 1

Former Legal Business NameColorado Retina Associates, Pc

Other Identifiers 1

MedicaidC807051CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colorado Retina Associates, PLLC's NPI number?

The NPI number for Colorado Retina Associates, PLLC is 1508435967. It was assigned to this organization in the NPPES registry on June 21, 2021. The provider was formerly known as Colorado Retina Associates, PC.

Where is Colorado Retina Associates, PLLC located?

Colorado Retina Associates, PLLC is located at 3401 Quebec St # 105, Denver, CO 80207. The listed phone number is (303) 261-1600.

What is Colorado Retina Associates, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Colorado Retina Associates, PLLC was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.