| |
2525 Arapahoe Ave, Suite E23, Boulder, CO 80302-6720 | |
(303) 444-1405 | |
(303) 413-9421 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 2525 Arapahoe Ave, 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 |
---|---|---|---|
1689689374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2008 (Colorado) | Primary |
Provider Name | Michael Bollenbacher |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780686527 PECOS PAC ID: 5294755526 Enrollment ID: I20051201000753 |
Provider Name | Ashley Lorraine Swalla |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477886893 PECOS PAC ID: 9537284948 Enrollment ID: I20110223000232 |
Provider Name | Judith H Marrocco |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447233242 PECOS PAC ID: 6608930631 Enrollment ID: I20150601002250 |
Provider Name | Nicole Megan Ramos |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023598398 PECOS PAC ID: 8022361351 Enrollment ID: I20181102000531 |
Mailing Address | Practice Location Address |
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2525 Arapahoe Ave, Suite E23, Boulder, CO 80302-6720 Ph: (303) 444-1405 | 2525 Arapahoe Ave, Suite E23, Boulder, CO 80302-6720 Ph: (303) 444-1405 |
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 |