| |
6800 N 79th St Ste 101, Niwot, CO 80503-8978 | |
(303) 652-0505 | |
(303) 652-0606 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 6800 N 79th St Ste 101, Niwot, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720679558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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6800 N 79th St Ste 101, Niwot, CO 80503-8978 Ph: (303) 652-0505 | 6800 N 79th St Ste 101, Niwot, CO 80503-8978 Ph: (303) 652-0505 |
Shelley Clark Rachal, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6800 N 79th St Ste 101, Niwot, CO 80503 Phone: 303-652-0505 |