|
| |
|
2648 Broadway St, Boulder, CO 80304-3542 | |
| (303) 938-8646 | |
| (303) 938-4087 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2648 Broadway St, Boulder, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033204136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | CO1975 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
2648 Broadway St, Boulder, CO 80304-3542 Ph: (303) 938-8646 | 2648 Broadway St, Boulder, CO 80304-3542 Ph: (303) 938-8646 |
Briana Renee Lovell, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1855 29th St # 1e-1156, Boulder, CO 80301 Phone: 720-565-0445 | |
Matthew L Tripp, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2800 Folsom St Ste C, Boulder, CO 80304 Phone: 303-442-6260 Fax: 303-447-0792 | |
Lawrence Fluss, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5305 Spine Rd Ste B, Boulder, CO 80301 Phone: 303-530-2020 | |
William B Britt Optometrist Medicare: Not Enrolled in Medicare Practice Location: 805 S Broadway St, Ste 101, Boulder, CO 80305 Phone: 303-494-4449 Fax: 303-499-5003 |