Carbon Valley Eye Care | |
5900 Keyes St Ste 101, Frederick, CO 80504-5956 | |
(303) 833-1056 | |
(303) 833-1057 |
Full Name | Carbon Valley Eye Care |
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Type | Facility |
Speciality | Optometrist |
Location | 5900 Keyes St Ste 101, Frederick, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235558065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2850 (Colorado) | Primary |
Provider Name | Michael Edward Koditek |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366735201 PECOS PAC ID: 1951562784 Enrollment ID: I20120423000056 |
Provider Name | Taylor Kiyota Jackson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275158404 PECOS PAC ID: 7315361839 Enrollment ID: I20200716003074 |
Provider Name | Yessica G Canas |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447829916 PECOS PAC ID: 7517368368 Enrollment ID: I20210630001928 |
Provider Name | Matthew A Winkler |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578842274 PECOS PAC ID: 4183891898 Enrollment ID: I20231209000022 |
Mailing Address | Practice Location Address |
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Carbon Valley Eye Care 5900 Keyes St Ste 101, Frederick, CO 80504-5956 Ph: (303) 833-1056 | Carbon Valley Eye Care 5900 Keyes St Ste 101, Frederick, CO 80504-5956 Ph: (303) 833-1056 |
Taylor Kiyota Jackson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5900 Keyes St Ste 101, Frederick, CO 80504 Phone: 303-833-1056 | |
Mr. Michael Edward Koditek, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5900 Keyes St Ste 101, Frederick, CO 80504 Phone: 303-833-1056 Fax: 303-833-1057 | |
Dr. Jeffrey Berger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5900 Keyes St Ste 101, Frederick, CO 80504 Phone: 303-833-1056 |