| |
1350 College Ave Unit 100, Boulder, CO 80302-7389 | |
(303) 444-3092 | |
(303) 938-0572 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 1350 College Ave Unit 100, Boulder, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386014397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | CO2298 (Colorado) | Primary |
152WC0802X | Optometrist - Corneal And Contact Management | CO2298 (Colorado) | Secondary |
Provider Name | Jeffrey Boyace Holland |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811950496 PECOS PAC ID: 9436469434 Enrollment ID: I20151103002230 |
Mailing Address | Practice Location Address |
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1350 College Ave Unit 100, Boulder, CO 80302-7389 Ph: (303) 444-3092 | 1350 College Ave Unit 100, Boulder, CO 80302-7389 Ph: (303) 444-3092 |
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 |