<unavail> in Boulder, CO

is a Optometrist based in Boulder, Colorado. is licensed to practice in * (Not Available) (license number ) and their current practice location is 1810 30th St Ste B, Boulder, Colorado. It can be reached at their office (for appointments etc.) via phone at (720) 358-9415.

NPI number for is 1568170520 and their current mailing address is Po Box 200564, Dallas, Texas. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1568170520.

Contact Information


	1810 30th St Ste B, Boulder, CO 80301-1025
	(720) 358-9415
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Optometrist
Location	1810 30th St Ste B, Boulder, Colorado
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1568170520
Provider Enumeration Date: 11/09/2022
Last Update Date: 05/10/2023

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568170520	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 200564, Dallas, TX 75320-0564 Ph: (970) 221-2222	1810 30th St Ste B, Boulder, CO 80301-1025 Ph: (720) 358-9415

Reviews and Comments

Optometrist in Boulder, CO

Optometrist Medicare: Medicare Enrolled Practice Location: 1836 30th St, Boulder, CO 80301 Phone: 303-449-2401 Fax: 720-563-0157
Optometrist Medicare: Medicare Enrolled Practice Location: 2885 Aurora Ave, Suite 4, Boulder, CO 80303 Phone: 303-443-2020 Fax: 303-444-2030
Briana Renee Lovell, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1855 29th St # 1e-1156, Boulder, CO 80301 Phone: 720-565-0445
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2648 Broadway St, Boulder, CO 80304 Phone: 303-938-8646 Fax: 303-938-4087
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

- Optometrist in Boulder, CO