| |
250 Max Dr, Suite 101, Castle Pines, CO 80108-9517 | |
(303) 688-5066 | |
(303) 688-6986 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 250 Max Dr, Castle Pines, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316091523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2238 (Colorado) | Primary |
Provider Name | Jason T Ortman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578545828 PECOS PAC ID: 3577598127 Enrollment ID: I20051004000126 |
Provider Name | Lacey B Brenner |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508162710 PECOS PAC ID: 8224286851 Enrollment ID: I20120924000428 |
Provider Name | Courtney Christine Putnam |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427432855 PECOS PAC ID: 5092004135 Enrollment ID: I20160513000127 |
Provider Name | Rachel E Hasler |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205368164 PECOS PAC ID: 3779851159 Enrollment ID: I20181024000997 |
Provider Name | Scott Mckim |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356335319 PECOS PAC ID: 0840541199 Enrollment ID: I20230306002116 |
Provider Name | Niki Bayat Fard |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598548281 PECOS PAC ID: 2264895606 Enrollment ID: I20230831003457 |
Provider Name | Crystal Jade Liu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215601596 PECOS PAC ID: 2264836477 Enrollment ID: I20240618001182 |
Provider Name | Taylor Leigh Hall |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497489579 PECOS PAC ID: 6507248861 Enrollment ID: I20240620002698 |
Mailing Address | Practice Location Address |
---|---|
250 Max Dr, Suite 101, Castle Pines, CO 80108-9517 Ph: (303) 688-5066 | 250 Max Dr, Suite 101, Castle Pines, CO 80108-9517 Ph: (303) 688-5066 |
Rachel Hasler, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 250 Max Dr Ste 101, Castle Pines, CO 80108 Phone: 303-688-5066 Fax: 303-688-6986 | |
Dr. Jason Troy Ortman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 250 Max Dr, 101, Castle Pines, CO 80108 Phone: 303-688-5066 Fax: 303-688-6986 | |
Niki Bayat Fard, Optometrist Medicare: Medicare Enrolled Practice Location: 250 Max Dr Ste 101, Castle Pines, CO 80108 Phone: 303-688-5066 | |
Dr. Jessica Bailin, OD Optometrist Medicare: Medicare Enrolled Practice Location: 250 Max Dr Ste 101, Castle Pines, CO 80108 Phone: 303-688-5066 |